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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAKEESHA CARTER (MANAGER)
(614) 741-5799
Entity
Organization

Contact information

Practice address
1533 OGLETHORPE DR, HEPHZIBAH, GA 30815-0015
(614) 741-5799
Mailing address
1533 OGLETHORPE DR, HEPHZIBAH, GA 30815-0015
(147) 415-7996

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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