# HOME HEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1336702208
- **Authorized official:** JOHN M SOUTHERN (TREASURER)
- **Authorized official phone:** (067) 854-7428

## Contact information

- **Practice address:** 629 RONALD REAGAN DR STE 3C, EVANS, GA 30809-7608
- **Practice address phone:** (706) 854-7428
- **Mailing address:** 933 BROAD ST STE 301, AUGUSTA, GA 30901-7222
- **Mailing address phone:** (706) 854-7428

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019