# MSK HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1659026599
- **Authorized official:** MARYUM MEHDEWI MOHEBI (ADMINISTRATOR)
- **Authorized official phone:** (770) 235-6160

## Contact information

- **Practice address:** 6515 INDIAN ACRES TRL, TUCKER, GA 30084-1617
- **Practice address phone:** (770) 235-6160
- **Mailing address:** 6515 INDIAN ACRES TRL, TUCKER, GA 30084-1617
- **Mailing address phone:** (770) 235-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 02/18/2022