Organization
963 HZ LLC
Active
Parent organization
963 HZ LLC
Other names
American Home Hemodialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
963 HZ LLC
Authorized official
JOURNEE BAHAM MPH (DIRECTOR OF OPERATIONS)
(770) 298-8555
Entity
Organization
Contact information
Practice address
621 ARBOR CIR, TUCKER, GA 30084-3061
(770) 298-5555
Mailing address
621 ARBOR CIR, TUCKER, GA 30084-3061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/19/2020
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