# ANESI HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1164028742
- **Authorized official:** MRS. IDONGESIT AGODA (OWNER/CEO)
- **Authorized official phone:** (678) 499-1414

## Contact information

- **Practice address:** 873 BISHOPS RUN LN, MABLETON, GA 30126-6416
- **Practice address phone:** (678) 499-1414
- **Practice address fax:** (470) 203-2111
- **Mailing address:** 873 BISHOPS RUN LN, MABLETON, GA 30126-6416
- **Mailing address phone:** (678) 499-1414
- **Mailing address fax:** (470) 203-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/08/2020