# SUNCREST HOME HEALTH OF GEORGIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SunCrest Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801044003
- **Authorized official:** MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 320 LANIER AVE W STE 240&250, FAYETTEVILLE, GA 30214-1600
- **Practice address phone:** (770) 253-4317
- **Practice address fax:** (770) 253-4393
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 126-183 | GA | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 06/08/2021