# GEORGIA SPECIALTY CARE STAFFING AGENCY LLC

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

## Provider details

- **NPI number:** 1386079051
- **Authorized official:** MS. KATRYNA D WICKS RN (CEO)
- **Authorized official phone:** (706) 412-1824

## Contact information

- **Practice address:** 451 HAMPTON GREEN DR, LAGRANGE, GA 30240-7736
- **Practice address phone:** (706) 412-1824
- **Mailing address:** 451 HAMPTON GREEN DR, LAGRANGE, GA 30240-7736
- **Mailing address phone:** (706) 412-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013