Organization
ACCESS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED JAMA (ADMINSTRATOR)
(207) 312-8676
Entity
Organization
Contact information
Practice address
6200 MEMORIAL DR STE I, STONE MOUNTAIN, GA 30083-2849
(207) 312-8676
(404) 393-6227
Mailing address
PO BOX 831113, STONE MOUNTAIN, GA 30083-0019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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