Organization
HOME CARE SERVICES OF NORTHEAST GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIMMES (PRINCIPAL)
(678) 481-4829
Entity
Organization
Contact information
Practice address
6105 STILLWATER TRL, FLOWERY BRANCH, GA 30542-5363
(404) 550-2916
Mailing address
7433 SPOUT SPRINGS RD STE 101-56, FLOWERY BRANCH, GA 30542-7766
(404) 550-2916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20262268433
STATE TAX ID
GA
Enumeration date
05/08/2018
Last updated
05/08/2018
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