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Organization
KMA CARE SERVICES LLC
Active
Organization
KMA CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAH SANOGO (ADMINISTRATOR)
(678) 200-0920
Entity
Organization
Contact information
Practice address
2201 HUNTER RIDGE LN, PEACHTREE CORNERS, GA 30092-3736
(678) 200-0920
Mailing address
1921 FERENTZ TRCE, NORCROSS, GA 30071-3676
(678) 200-0920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
Other
Enumeration date
10/24/2025
Last updated
10/25/2025
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