Organization
SPERITY HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZUKA EZUMEZU (CEO)
(678) 651-8990
Entity
Organization
Contact information
Practice address
305 GLADSTONE DR, MCDONOUGH, GA 30253-8097
(678) 651-8990
Mailing address
PO BOX 960898, RIVERDALE, GA 30296-0898
(678) 651-8990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000111
GA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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