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Organization

THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY

Active
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Other names
HMC Home Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
STEPHEN TYLER WILLIAMS (CEO)
(706) 754-3113
Entity
Organization

Contact information

Practice address
157 ADAMS DR, DEMOREST, GA 30535-4564
(706) 754-6575
(706) 754-8750
Mailing address
PO BOX 668, DEMOREST, GA 30535-0668
(706) 754-6575
(706) 754-8750

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
068-191
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000740165A
GA
01
21397
WELLCARE
GA
Enumeration date
12/13/2006
Last updated
01/08/2021
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