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Organization

963 HZ LLC

Active
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Organization

963 HZ LLC

Active
Parent organization
963 HZ LLC
Other names
American Home Hemodialysis
Organization subpart
Yes

Provider details

NPI number
Legal business name
963 HZ LLC
Authorized official
JOURNEE BAHAM MPH (DIRECTOR OF OPERATIONS)
(770) 298-8555
Entity
Organization

Contact information

Practice address
621 ARBOR CIR, TUCKER, GA 30084-3061
(770) 298-5555
Mailing address
621 ARBOR CIR, TUCKER, GA 30084-3061

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL

Other

Enumeration date
10/17/2020
Last updated
10/19/2020
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