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Organization

IN HOME HEALTH LLC

Active
Other names
ProMedica Hospice (Atlanta)
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization

Contact information

Practice address
2951 FLOWERS RD S STE 211, ATLANTA, GA 30341-5533
(770) 474-4565
Mailing address
333 N SUMMIT ST, ATTN: LICENSURE SUPPORT, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
056-0260-H
GA
315D00000X
Inpatient Hospice

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000848317A
GA
Enumeration date
05/25/2006
Last updated
10/11/2023
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