Organization
SUNCREST HOME HEALTH OF GEORGIA, INC.
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
906 INTERSTATE RIDGE DR, SUITE A1, GAINESVILLE, GA 30501-7076
(770) 297-0041
(770) 297-0049
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
069-307-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125167A
—
GA
Enumeration date
08/31/2010
Last updated
08/14/2020
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