# EMPIRE INTERNATIONAL CARE CENTER

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

## Provider details

- **NPI number:** 1366198582
- **Authorized official:** DR. TAMEKA DUNCAN CPC (OWNER)
- **Authorized official phone:** (470) 489-7917

## Contact information

- **Practice address:** 3505 SKYLAND DR, LOGANVILLE, GA 30052-8962
- **Practice address phone:** (470) 222-5694
- **Mailing address:** PO BOX 491232, LAWRENCEVILLE, GA 30049-0021
- **Mailing address phone:** (470) 881-2206
- **Mailing address fax:** (470) 945-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | — | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 11/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4840464 | HOME HEALTH | OH |
| 01 | — | 632146 | HOME HEALTH | GA |