# SPERITY HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1417199662
- **Authorized official:** MRS. AZUKA EZUMEZU (CEO)
- **Authorized official phone:** (678) 651-8990

## Contact information

- **Practice address:** 305 GLADSTONE DR, MCDONOUGH, GA 30253-8097
- **Practice address phone:** (678) 651-8990
- **Mailing address:** PO BOX 960898, RIVERDALE, GA 30296-0898
- **Mailing address phone:** (678) 651-8990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 000111 | GA | Yes |

## Other

- **Enumeration date:** 04/02/2009
- **Last updated:** 04/02/2009