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Organization
HOME CARE SERVICES OF NORTHEAST GEORGIA, INC.
Active
Organization
HOME CARE SERVICES OF NORTHEAST GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIMMES (PRINCIPAL)
(678) 481-4829
Entity
Organization
Contact information
Practice address
6105 STILLWATER TRL, FLOWERY BRANCH, GA 30542-5363
(404) 550-2916
Mailing address
7433 SPOUT SPRINGS RD STE 101-56, FLOWERY BRANCH, GA 30542-7766
(404) 550-2916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20262268433
STATE TAX ID
GA
Enumeration date
05/08/2018
Last updated
05/08/2018
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