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Organization

EMPIRE INTERNATIONAL CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMEKA DUNCAN CPC (OWNER)
(470) 489-7917
Entity
Organization

Contact information

Practice address
3505 SKYLAND DR, LOGANVILLE, GA 30052-8962
(470) 222-5694
Mailing address
PO BOX 491232, LAWRENCEVILLE, GA 30049-0021
(470) 881-2206
(470) 945-4151

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
3245S0500X
Children's Substance Abuse Rehabilitation Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4840464
HOME HEALTH
OH
01
632146
HOME HEALTH
GA
Enumeration date
02/25/2022
Last updated
11/27/2024
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