Organization
MOUNTAIN HHA, LLC
Active
Other names
Mountain Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY W RASMUSSEN (PRESIDENT)
(671) 932-6302
Entity
Organization
Contact information
Practice address
516 BLUE RIDGE ST STE A, BLAIRSVILLE, GA 30512-3159
(706) 745-5101
(706) 745-5139
Mailing address
1395 S MARIETTA PKWY SE, BLDG 400 SUITE 102, MARIETTA, GA 30067-4440
(678) 932-6302
(678) 402-5246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
144-132
GA
Other
Enumeration date
02/26/2017
Last updated
12/09/2019
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