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Organization
NEXGEN HOME CARE INC
Active
Organization
NEXGEN HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L LAM (CEO)
(404) 480-0234
Entity
Organization
Contact information
Practice address
5165 ESTATE VIEW TRCE, SUWANEE, GA 30024
(404) 480-0234
Mailing address
5165 ESTATE VIEW TRCE, SUWANEE, GA 30024-3410
(404) 480-0234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
061-R-0711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061-R-0711
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
01/12/2011
Last updated
11/08/2019
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