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Organization

AMICUS HOME CARE

Active
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Organization

AMICUS HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OSARETIN ISIBOR (CEO)
(770) 939-0146
Entity
Organization

Contact information

Practice address
3469 LAWRENCEVILLE HWY STE 304, TUCKER, GA 30084-5890
(770) 939-0146
(770) 939-0145
Mailing address
3469 LAWRENCEVILLE HWY STE 304, TUCKER, GA 30084-5890
(770) 939-0146
(770) 939-0145

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
122-R-0514
GA
253Z00000X
In Home Supportive Care Agency
122-R-0514
GA

Other

Enumeration date
09/29/2010
Last updated
07/10/2024
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