Organization
SOUTHCARE MEDICAL & HOMECARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ECHEBELEM (OPERATING MANAGER)
(404) 844-9975
Entity
Organization
Contact information
Practice address
1303 E UNION ST STE A, VIENNA, GA 31092-7540
(404) 844-9975
(888) 687-4829
Mailing address
1150 INDUSTRIAL DR, SUITE 142, VIENNA, GA 31092-1333
(404) 552-4361
(229) 888-3558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
046-R-0644
GA
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
02/21/2010
Last updated
03/10/2023
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