Organization
ANESI HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDONGESIT AGODA (OWNER/CEO)
(678) 499-1414
Entity
Organization
Contact information
Practice address
873 BISHOPS RUN LN, MABLETON, GA 30126-6416
(678) 499-1414
(470) 203-2111
Mailing address
873 BISHOPS RUN LN, MABLETON, GA 30126-6416
(678) 499-1414
(470) 203-2111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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