# BELLE AME PCS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083362925
- **Authorized official:** RODNEY EVANS (ADMINISTRATOR)
- **Authorized official phone:** (404) 308-3176

## Contact information

- **Practice address:** 3644 TALONEGA TRL, ELLENWOOD, GA 30294-1158
- **Practice address phone:** (404) 308-3176
- **Mailing address:** 3644 TALONEGA TRL, ELLENWOOD, GA 30294-1158
- **Mailing address phone:** (404) 308-3176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2022
- **Last updated:** 03/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHCP011141 | STATE OF GEORGIA | GA |
