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Individual

IRENE NWACHUKWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
109 CHASE LANDING DR, LOGANVILLE, GA 30052-6523
(610) 551-7066
Mailing address
109 CHASE LANDING DR, LOGANVILLE, GA 30052-6523

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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