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Organization
EXTENDED HANDS OF GEORGIA
Active
Organization
EXTENDED HANDS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIE SHEATS (PRESIDENT/CEO)
(404) 316-1558
Entity
Organization
Contact information
Practice address
5450 LEMOYNE DR SW, ATLANTA, GA 30331-9206
(404) 316-1558
Mailing address
5450 LEMOYNE DR SW, ATLANTA, GA 30331-9206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1501024654
GA
251G00000X
Community Based Hospice Care Agency
1501024654
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
343900000X
Non-emergency Medical Transport (VAN)
1501024654
GA
347C00000X
Private Vehicle
1501024654
GA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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