# 963 HZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 963 HZ LLC
- **Other names:** American Home Hemodialysis
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588263917
- **Legal business name:** 963 HZ LLC
- **Authorized official:** JOURNEE BAHAM MPH (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (770) 298-8555

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2020
- **Last updated:** 10/19/2020