# -

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

## Provider details

- **NPI number:** 1962294751
- **Authorized official:** DR. DEBORAH ANN SYKES-TUCKER DBA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (706) 573-9530

## Contact information

- **Practice address:** 2013 DEVONSHIRE DR STE 1600, COLUMBUS, GA 31904-6000
- **Practice address phone:** (470) 826-3466
- **Mailing address:** 42 W TEDDY BEAR LN, WAVERLY HALL, GA 31831-2446
- **Mailing address phone:** (678) 886-3478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 05/19/2025
- **Last updated:** 05/19/2025