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Organization

ICARE HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNISE CORNEJO (OWNER)
(213) 840-7409
Entity
Organization

Contact information

Practice address
1468 FRAZIER LN, DECATUR, GA 30033-1857
(404) 706-4950
(470) 607-0686
Mailing address
4112 BELLA VIEW DR, SNELLVILLE, GA 30039-3208

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/12/2022
Last updated
04/29/2026
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