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Organization

ASCENDWELL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YURI MACK NP (MANAGING MEMBER)
(404) 694-0194
Entity
Organization

Contact information

Practice address
8227 BLUEWATER DR, FAIRBURN, GA 30213-2143
(404) 694-0194
Mailing address
8227 BLUEWATER DR, FAIRBURN, GA 30213-2143

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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