Organization
INTERMED HOME CARE INCORPORATED
Active
Other names
InterMed Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BOTEZAT (PRESIDENT)
(770) 722-3565
Entity
Organization
Contact information
Practice address
1580 WARSAW RD, ROSWELL, GA 30076-1532
(770) 455-3817
(770) 455-3828
Mailing address
P.O. BOX 767547, ROSWELL, GA 30076
(770) 455-3817
(770) 455-3828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028698723A
—
GA
05
—
028698723B
—
GA
Enumeration date
10/30/2009
Last updated
07/21/2022
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