Organization
IN HOME HEALTH, LLC
Active
Other names
ProMedica Hospice (Atlanta)
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN DAVID ALLEN (SOLE DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
2951 FLOWERS RD S STE 211, ATLANTA, GA 30341-5533
(770) 474-4565
Mailing address
PO BOX 10086, TOLEDO, OH 43699-0086
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000848317A
—
GA
Enumeration date
04/19/2022
Last updated
04/19/2022
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