Organization
SUNCREST HOME HEALTH OF GEORGIA, INC
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 240&250, FAYETTEVILLE, GA 30214-1600
(770) 253-4317
(770) 253-4393
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
126-183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000770272B
—
GA
Enumeration date
09/03/2008
Last updated
06/08/2021
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