# IMMACULATE HEALTHCARE SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1740778463
- **Authorized official:** TIMOTHY IJEH (OWNER)
- **Authorized official phone:** (404) 944-9516

## Contact information

- **Practice address:** 970 PEACHTREE INDUSTRIAL BLVD STE 8, SUWANEE, GA 30024
- **Practice address phone:** (404) 944-9516
- **Mailing address:** 970 PEACHTREE INDUSTRIAL BLVD STE 8, SUWANEE, GA 30024-6988
- **Mailing address phone:** (678) 707-2369

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2018
- **Last updated:** 10/23/2019
