Organization
INTERIM HEALTHCARE OF NORTHEAST GEORGIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACY ANN KENNY R.N. (VICE PRESIDENT)
(770) 534-0083
Entity
Organization
Contact information
Practice address
1062 THOMPSON BRIDGE RD, SUITE B-7, GAINESVILLE, GA 30501-1762
(770) 534-0083
(770) 534-2443
Mailing address
1062 THOMPSON BRIDGE RD, SUITE B-7, GAINESVILLE, GA 30501-1762
(770) 534-0083
(770) 534-2443
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
069-R-0021
GA
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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