Organization
AMEDISYS GEORGIA, L.L.C.
Active
Parent organization
AMEDISYS GEORGIA, L.L.C.
Other names
Amedisys Home Health of Gray
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMEDISYS GEORGIA, L.L.C.
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
4274 GRAY HWY, SUITE C, GRAY, GA 31032-5938
(478) 986-5550
(478) 986-5553
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
Primary
11243H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000827802F
—
GA
Enumeration date
12/04/2008
Last updated
10/03/2016
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