# TRI-CHIPA HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1396389193
- **Authorized official:** DR. PROSPER IKECHUKWU IGBOELI MD (ADMINISTRATOR)
- **Authorized official phone:** (706) 380-6978

## Contact information

- **Practice address:** 1417 AYLESBURY DR, EVANS, GA 30809-8214
- **Practice address phone:** (706) 380-6978
- **Practice address fax:** (762) 222-7421
- **Mailing address:** 1417 AYLESBURY DR, EVANS, GA 30809-8214
- **Mailing address phone:** (706) 380-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 05/05/2021