Organization
BELLE AME PCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY EVANS (ADMINISTRATOR)
(404) 308-3176
Entity
Organization
Contact information
Practice address
3644 TALONEGA TRL, ELLENWOOD, GA 30294-1158
(404) 308-3176
Mailing address
3644 TALONEGA TRL, ELLENWOOD, GA 30294-1158
(404) 308-3176
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011141
STATE OF GEORGIA
GA
Enumeration date
03/10/2022
Last updated
03/10/2022
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