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Organization
ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
Active
Organization
ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
Active
Other names
Addus HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(630) 296-3400
Entity
Organization
Contact information
Practice address
3300 HIGHLANDS PKWY SE, SUITE 140, SMYRNA, GA 30082-5131
(678) 287-7398
(855) 807-5843
Mailing address
2300 WARRENVILLE RD, SUITE 100, DOWNERS GROVE, IL 60515-1765
(630) 296-3400
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-1056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972419
—
GA
01
—
044-R-1056
LICENSE NUMBER
GA
Enumeration date
07/20/2012
Last updated
06/17/2015
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