# MCO HOMECARE SERVICES LLC

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

## Provider details

- **NPI number:** 1801570833
- **Authorized official:** MS. BREANNA LYNCH (ADMINISTRATOR)
- **Authorized official phone:** (877) 958-3230

## Contact information

- **Practice address:** 3255 LAWRENCEVILLE SUWANEE RD STE P521, SUWANEE, GA 30024-6540
- **Practice address phone:** (877) 958-3230
- **Practice address fax:** (470) 890-1478
- **Mailing address:** 3255 LAWRENCEVILLE SUWANEE RD STE P521, SUWANEE, GA 30024-6540
- **Mailing address phone:** (877) 958-3230
- **Mailing address fax:** (470) 890-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2023
- **Last updated:** 04/22/2025