# AIKO HOME CARE

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

## Provider details

- **NPI number:** 1124886452
- **Authorized official:** MR. CHARLESTON CROUCH SR. (CFO)
- **Authorized official phone:** (917) 565-1225

## Contact information

- **Practice address:** 43 SWEETWATER BRIDGE TRL, DOUGLASVILLE, GA 30134-5597
- **Practice address phone:** (917) 565-1225
- **Mailing address:** 43 SWEETWATER BRIDGE TRL, DOUGLASVILLE, GA 30134-5597
- **Mailing address phone:** (917) 565-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024