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Organization
-
Active
Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ANN SYKES-TUCKER DBA (OWNER/ADMINISTRATOR)
(706) 573-9530
Entity
Organization
Contact information
Practice address
2013 DEVONSHIRE DR STE 1600, COLUMBUS, GA 31904-6000
(470) 826-3466
Mailing address
42 W TEDDY BEAR LN, WAVERLY HALL, GA 31831-2446
(678) 886-3478
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
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—
253Z00000X
In Home Supportive Care Agency
Primary
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—
372600000X
Adult Companion
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—
374U00000X
Home Health Aide
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—
376J00000X
Homemaker
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385H00000X
Respite Care
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—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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