Organization
NATIONAL HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME IVERY (EXECUTIVE DIRECTOR)
(330) 212-2535
Entity
Organization
Contact information
Practice address
3469 LAWRENCEVILLE HWY, TUCKER, GA 30084-5888
(330) 212-2535
Mailing address
1527 KELLEYS CLOSE, STONE MOUNTAIN, GA 30088-3834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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