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Organization

AMICITA HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH A THOMPSON (VP OF OPERATIONS)
(912) 538-8000
Entity
Organization

Contact information

Practice address
806 MAPLE DR, VIDALIA, GA 30474-7208
(912) 538-8000
(912) 538-8000
Mailing address
806 MAPLE DRIVE, VIDALIA, GA 30474-7208
(912) 538-8000
(912) 538-0467

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
132-013
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117054
MEDICARE HOME HEALTH
Enumeration date
11/08/2006
Last updated
03/23/2017
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