Organization
AMEDISYS GEORGIA, LLC
Active
Parent organization
AMEDISYS GEORGIA, LLC
Other names
Amedisys Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMEDISYS GEORGIA, LLC
Authorized official
PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
190 WESTSIDE DR, SUITE E, DOUGLAS, GA 31533-3533
(912) 383-0840
(912) 383-0838
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
148-110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000826009J
—
GA
Enumeration date
01/21/2010
Last updated
10/03/2016
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