# MI CASA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mi Casa Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982723953
- **Authorized official:** MR. TONY K BOATRIGHT (VP COO)
- **Authorized official phone:** (678) 261-3665

## Contact information

- **Practice address:** 2271 BRENGARE DR, DECATUR, GA 30033-4711
- **Practice address phone:** (678) 261-3665
- **Practice address fax:** (866) 383-4655
- **Mailing address:** 2271 BRENGARE DR, DECATUR, GA 30033-4711
- **Mailing address phone:** (678) 261-3665
- **Mailing address fax:** (866) 383-4655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 044-R-0199 | GA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020