# IVANNA HOMECARE

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

## Provider details

- **NPI number:** 1487593919
- **Authorized official:** MERCY EKEUWA (REGISTERED NURSE)
- **Authorized official phone:** (470) 794-7254

## Contact information

- **Practice address:** 66 LONGWOOD CT, DALLAS, GA 30132-1146
- **Practice address phone:** (470) 794-7254
- **Practice address fax:** (470) 794-7254
- **Mailing address:** PO BOX 66, DALLAS, GA 30132-0002
- **Mailing address phone:** (404) 287-7713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 302R00000X | Health Maintenance Organization | — | — | — |

## Other

- **Enumeration date:** 03/27/2026
- **Last updated:** 03/27/2026