Organization
ALTAMAHA HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DEEN (FINANCIAL DIRECTOR)
(912) 367-1046
Entity
Organization
Contact information
Practice address
52 N OAK ST, BAXLEY, GA 31513-0031
(912) 367-1046
(912) 366-0068
Mailing address
52 N OAK ST, BAXLEY, GA 31513-0031
(912) 367-1046
(912) 366-0068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001-289-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000490267D
—
GA
05
—
000791381C
—
GA
05
—
000791381E
—
GA
05
—
300028918D
—
GA
Enumeration date
08/07/2006
Last updated
10/20/2025
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