Organization
DASOM HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BOGO KIM (PRESIDENT)
(770) 572-8707
Entity
Organization
Contact information
Practice address
1238 FORT MARCY PARK, LAWRENCEVILLE, GA 30044-3489
(678) 925-7370
(888) 342-1617
Mailing address
3230 STEVE REYNOLDS BOULEVARD, STE 214, DULUTH, GA 30096-8833
(470) 282-1966
(888) 342-1617
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
09/26/2023
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