Organization
AMEDISYS GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
691 441 HISTORIC HWY N, SUITE 6, DEMOREST, GA 30535-4569
(866) 464-9124
(866) 268-3586
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
055-240
GA
251E00000X
Home Health Agency
Primary
059-240-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00824909C
—
GA
Enumeration date
04/17/2007
Last updated
02/28/2018
About Stedi
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