Organization
ADDIS PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN ADHANE B.A (ADMINISTRATOR)
(404) 644-8554
Entity
Organization
Contact information
Practice address
3525 LYNLEY MILL DR, DACULA, GA 30019-5046
(404) 644-8554
(770) 822-9718
Mailing address
3525 LYNLEY MILL DR, DACULA, GA 30019-5046
(404) 644-8554
(770) 822-9718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1112
GA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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