Organization
AMICITA HOME HEALTH, LLC
Active
Other names
CHSGa Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA R BACON RN, BSN (ADMINISTRATOR)
(912) 538-8000
Entity
Organization
Contact information
Practice address
825 BAXTER ST, ATHENS, GA 30605-1111
(706) 769-5330
(706) 769-5320
Mailing address
806 MAPLE DR, VIDALIA, GA 30474-7208
(912) 538-8000
(912) 538-0467
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
108-137-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480895A
—
GA
Enumeration date
02/01/2007
Last updated
02/13/2023
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