# HEALTHSOURCE AGENCY INC

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

## Provider details

- **NPI number:** 1629202874
- **Authorized official:** MRS. RUFINA NORAGBON RN (DIRECTOR OF NURSING)
- **Authorized official phone:** (770) 310-8794

## Contact information

- **Practice address:** 110 EAGLE SPRING DR, SUITE D, STOCKBRIDGE, GA 30281-2568
- **Practice address phone:** (770) 310-8794
- **Practice address fax:** (678) 961-5719
- **Mailing address:** 110 EAGLE SPRING DR, SUITE D, STOCKBRIDGE, GA 30281-6488
- **Mailing address phone:** (770) 310-8794
- **Mailing address fax:** (678) 961-5719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | RN165113 | GA | Yes |

## Other

- **Enumeration date:** 05/03/2009
- **Last updated:** 01/27/2017