# DASOM HOMECARE AGENCY LLC

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

## Provider details

- **NPI number:** 1750039798
- **Authorized official:** MRS. MICHELLE BOGO KIM (PRESIDENT)
- **Authorized official phone:** (770) 572-8707

## Contact information

- **Practice address:** 1238 FORT MARCY PARK, LAWRENCEVILLE, GA 30044-3489
- **Practice address phone:** (678) 925-7370
- **Practice address fax:** (888) 342-1617
- **Mailing address:** 3230 STEVE REYNOLDS BOULEVARD, STE 214, DULUTH, GA 30096-8833
- **Mailing address phone:** (470) 282-1966
- **Mailing address fax:** (888) 342-1617

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2022
- **Last updated:** 09/26/2023