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Organization

CONTACT IN-HOME CARE, LLC

Active
Other names
Contact Medical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AKACHUKWU I ONYILIOGWU M.D. (ADMINISTRATOR)
(770) 807-8910
Entity
Organization

Contact information

Practice address
375 SCENIC HWY, LAWRENCEVILLE, GA 30046-5672
(770) 807-8910
(678) 999-5234
Mailing address
PO BOX 1105, LAWRENCEVILLE, GA 30046-1105
(770) 807-8910
(678) 999-5234

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-0268
GA
332B00000X
Durable Medical Equipment & Medical Supplies
6698820001
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6698820001
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692175077D
GA
Enumeration date
11/03/2007
Last updated
06/11/2019
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