Organization
QUALICARE OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED J UMUNNAKWE (ADMINISTRATOR/CEO)
(404) 819-4992
Entity
Organization
Contact information
Practice address
2370 GREYTHORNE CMNS, DOUGLASVILLE, GA 30135-8103
(404) 819-4992
Mailing address
1755 THE EXCHANGE SE, SUITE 210, ATLANTA, GA 30339-7400
(678) 508-6146
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-1079
GA
253Z00000X
In Home Supportive Care Agency
060-R-1079
GA
Other
Enumeration date
10/01/2012
Last updated
08/11/2022
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