Organization
PRIMESTAR HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEKA NZEKWU (ADMINISTRATOR)
(404) 731-7198
Entity
Organization
Contact information
Practice address
5014 LAKE MIST DR SE, MABLETON, GA 30126-5980
(404) 731-7198
Mailing address
5014 LAKE MIST DR SE, MABLETON, GA 30126-5980
(404) 731-7198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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