# GENUINE HEALTHCARE OF GEORGIA, LLC

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

## Provider details

- **NPI number:** 1588067144
- **Authorized official:** OLYMPIA MARIE NICHOLS (CEO/FOUNDER)
- **Authorized official phone:** (678) 834-2511

## Contact information

- **Practice address:** 500 LANIER AVE W, SUITE 606B-10, FAYETTEVILLE, GA 30214-7636
- **Practice address phone:** (678) 834-2511
- **Mailing address:** 500 LANIER AVE W, SUITE 606B-10, FAYETTEVILLE, GA 30214-7636
- **Mailing address phone:** (678) 834-2511

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2014
- **Last updated:** 06/17/2016