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Organization

AUTHENTIC HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OCTAVIA PITTS (OWNER)
(706) 240-0921
Entity
Organization

Contact information

Practice address
326 HWY 212, EATONTON, GA 31024-6737
(706) 240-0921
Mailing address
326 HWY 212, EATONTON, GA 31024-6737
(706) 240-0921

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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