# PHILEMON HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1962055640
- **Authorized official:** MRS. RUTHIE A THOMPSON (CFO)
- **Authorized official phone:** (770) 465-9386

## Contact information

- **Practice address:** 925 MAIN ST STE 300-116, STONE MOUNTAIN, GA 30083-3098
- **Practice address phone:** (678) 932-8056
- **Practice address fax:** (678) 797-7020
- **Mailing address:** 622 PENNYLAKE LANE, STONE MOUNTAIN, GA 30087-5768
- **Mailing address phone:** (770) 465-9386

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2019
- **Last updated:** 07/22/2019