Organization
GARY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICA GARY (OWNER)
(706) 888-0773
Entity
Organization
Contact information
Practice address
3025 UNIVERSITY AVE BLDG 408B, COLUMBUS, GA 31907-2101
(706) 888-0773
Mailing address
22 DOUGLAS ST, COLUMBUS, GA 31903-3350
(706) 888-0773
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
155383
GA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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