Organization
CHALICE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE JOHN (ADMINISTRATOR)
(770) 239-1730
Entity
Organization
Contact information
Practice address
2180 SATELLITE BLVD, SUITE #400, DULUTH, GA 30097-4028
(770) 239-1730
Mailing address
2180 SATELLITE BLVD, SUITE #400, DULUTH, GA 30097-4028
(770) 239-1730
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1164
GA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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