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Organization
SUNCREST HOME HEALTH OF GEORGIA, INC
Active
Organization
SUNCREST HOME HEALTH OF GEORGIA, INC
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 240&250, FAYETTEVILLE, GA 30214-1600
(770) 253-4317
(770) 253-4393
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
126-183
GA
Other
Enumeration date
09/03/2008
Last updated
06/08/2021
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