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Organization
PRIMARY SERVICES
Active
Organization
PRIMARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR KYSER (DIRECTOR)
(678) 641-2446
Entity
Organization
Contact information
Practice address
2206 HANFRED LN STE 101, TUCKER, GA 30084-4809
(678) 641-2446
Mailing address
2206 HANFRED LN STE 101, TUCKER, GA 30084-4809
(678) 641-2446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/17/2026
Last updated
09/17/2026
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