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Organization
EMPIRE INTERNATIONAL CARE CENTER
Active
Organization
EMPIRE INTERNATIONAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMEKA DUNCAN CPC (OWNER)
(470) 489-7917
Entity
Organization
Contact information
Practice address
3505 SKYLAND DR, LOGANVILLE, GA 30052-8962
(470) 222-5694
Mailing address
PO BOX 491232, LAWRENCEVILLE, GA 30049-0021
(470) 881-2206
(470) 945-4151
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4840464
HOME HEALTH
OH
01
—
632146
HOME HEALTH
GA
Enumeration date
02/25/2022
Last updated
11/27/2024
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