Organization
TALLAPOOSA HOME CARE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ANTHONY SMITH C.O., L.O. (OWNER/C.O.O)
(404) 538-5921
Entity
Organization
Contact information
Practice address
1031 CAMBRIDGE SQ STE A, ALPHARETTA, GA 30009-1869
(770) 574-9126
(888) 501-6340
Mailing address
1031 CAMBRIDGE SQ STE A, ALPHARETTA, GA 30009-1869
(770) 574-9126
(888) 501-6340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798679525A
—
GA
Enumeration date
07/06/2006
Last updated
02/11/2021
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