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Organization
APLUSIHC
Active
Organization
APLUSIHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SIMMONS (PRESIDENT)
(678) 296-4139
Entity
Organization
Contact information
Practice address
88 AMACKER RD, POPLARVILLE, GA 39470-3022
(678) 296-4139
(678) 296-4139
Mailing address
11794 REGISTRY BLVD, HAMPTON, GA 30228
(678) 296-4139
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
243799922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
MS
Enumeration date
08/03/2017
Last updated
08/03/2017
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