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Organization
IVANNA HOMECARE
Active
Organization
IVANNA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY EKEUWA (REGISTERED NURSE)
(470) 794-7254
Entity
Organization
Contact information
Practice address
66 LONGWOOD CT, DALLAS, GA 30132-1146
(470) 794-7254
(470) 794-7254
Mailing address
PO BOX 66, DALLAS, GA 30132-0002
(404) 287-7713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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