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Organization
LEUSCET KEY
Active
Organization
LEUSCET KEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GREEN (OWNER)
(404) 500-7729
Entity
Organization
Contact information
Practice address
562 CHERRY ST APT 108, MACON, GA 31201-6312
(404) 500-7729
Mailing address
2114 N FLAMINGO RD # 1257, PEMBROKE PINES, FL 33028-3501
(404) 500-7729
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/12/2026
Last updated
10/12/2026
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