Organization
SUNCREST HOME HEALTH-SOUTHSIDE, LLC
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASRESHA KASSA CPA (CFO)
(404) 564-7009
Entity
Organization
Contact information
Practice address
1039 RIDGE AVE SW, ATLANTA, GA 30315-1601
(770) 393-2309
(770) 668-0522
Mailing address
PO BOX 6687, ATLANTA, GA 30315-0687
(404) 688-1350
(404) 688-2962
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-293H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126784A
—
GA
Enumeration date
06/27/2011
Last updated
07/09/2025
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