Organization
AMEDISYS NORTHWEST LLC
Active
Other names
Amedisys Home Health of Thomaston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
113 CRAWLEY ST, THOMASTON, GA 30286-3576
(706) 648-1148
(866) 727-3621
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
126-278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00183961E
—
GA
Enumeration date
04/16/2007
Last updated
10/11/2017
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