# AMICUS HOME CARE

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

## Provider details

- **NPI number:** 1447569173
- **Authorized official:** MR. OSARETIN ISIBOR (CEO)
- **Authorized official phone:** (770) 939-0146

## Contact information

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

## Taxonomy

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