Organization
PACIFIC HEALTH SYSTEMS LLC
Active
Other names
Pacific Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
REMIGIUS I IDAEWOR (OWNER)
(678) 480-5315
Entity
Organization
Contact information
Practice address
110 EAGLE SPRING DR, SUITE C, STOCKBRIDGE, GA 30281-6488
(678) 480-5315
(404) 745-0340
Mailing address
110 EAGLE SPRING DR, SUITE C, STOCKBRIDGE, GA 30281-6488
(678) 480-5315
(404) 745-0340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
075-R-1482
GA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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