Organization
HOME HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M SOUTHERN (TREASURER)
(067) 854-7428
Entity
Organization
Contact information
Practice address
629 RONALD REAGAN DR STE 3C, EVANS, GA 30809-7608
(706) 854-7428
Mailing address
933 BROAD ST STE 301, AUGUSTA, GA 30901-7222
(706) 854-7428
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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