Organization
BODY MECHANICS REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETORSHA HOM (ACCOUNT EXECUTIVE)
(678) 817-3422
Entity
Organization
Contact information
Practice address
524 NEW RIVER WAY, MCDONOUGH, GA 30252-4153
(678) 817-3422
(678) 444-4559
Mailing address
524 NEW RIVER WAY, MCDONOUGH, GA 30252-4153
(678) 817-3422
(678) 444-4559
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OT002225
GA
251E00000X
Home Health Agency
Primary
OT002225
GA
253Z00000X
In Home Supportive Care Agency
OT002225
GA
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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