# ALLIED HEALTH SERVICES GEORGIA

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

## Provider details

- **NPI number:** 1639414022
- **Authorized official:** MR. KALIL KARGBO (CEO & PRESIDENT)
- **Authorized official phone:** (404) 763-0055

## Contact information

- **Practice address:** 5530 OLD NATIONAL HWY, SUITE C, COLLEGE PARK, GA 30349-3356
- **Practice address phone:** (404) 763-0055
- **Practice address fax:** (404) 763-0058
- **Mailing address:** 5530 OLD NATIONAL HWY, SUITE C, COLLEGE PARK, GA 30349-3356
- **Mailing address phone:** (404) 763-0055
- **Mailing address fax:** (404) 763-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 060-R-0952 | GA | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012