Organization
FIDELIS HEALTHCARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISSIAH D DUPLESSIS (OWNER)
(678) 596-3361
Entity
Organization
Contact information
Practice address
12461 VETERANS MEMORIAL HWY STE 837, DOUGLASVILLE, GA 30134-2025
(770) 722-2034
Mailing address
PO BOX 1916, VILLA RICA, GA 30180-6429
(678) 596-3361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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