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Organization

CIVET HOLDINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OMAR GREEN (PRESIDENT)
(404) 433-7949
Entity
Organization

Contact information

Practice address
950 DANNON VW SW STE 4103, ATLANTA, GA 30331-2159
(404) 433-7949
Mailing address
2549 LAQUANDA CT SW, ATLANTA, GA 30331-7890
(404) 433-7949

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BD1200X
Dialysis Equipment & Supplies (DME)
332BN1400X
Nursing Facility Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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