Organization
AMEDISYS GEORGIA LLC
Active
Other names
Tugaloo Home Health Agency an Amedisys Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
75 N MAIN ST, STE 105, CLAYTON, GA 30525-4264
(800) 348-2852
(866) 268-3538
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
059-240
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000189164F
—
GA
05
—
00824909E
—
GA
Enumeration date
04/17/2007
Last updated
11/01/2017
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