Organization
MELLISH HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY VICKERS (OWNER)
(404) 451-8021
Entity
Organization
Contact information
Practice address
2033 LOCKSLEY TER, LITHONIA, GA 30058-6513
(770) 484-1161
Mailing address
2033 LOCKSLEY TER, LITHONIA, GA 30058-6513
(770) 484-1161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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