Organization
MEDI-CURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDINE OCEOLA GORDON (OWNER/ADMINISTRATOR)
(770) 879-7382
Entity
Organization
Contact information
Practice address
1227 ROCKBRIDGE RD STE 208-196, STONE MOUNTAIN, GA 30087-3064
(770) 755-1394
Mailing address
1227 ROCKBRIDGE RD STE 208-196, STONE MOUNTAIN, GA 30087-3064
(770) 755-1394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0991
GA
251G00000X
Community Based Hospice Care Agency
044-R-0991
GA
251J00000X
Nursing Care Agency
044-R-0991
GA
253Z00000X
In Home Supportive Care Agency
044-R-0991
GA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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