Organization
SOUTHEAST SERVICES, LLC
Active
Other names
Choice Care Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALIM KABA (ADMINISTRATOR)
(678) 908-5919
Entity
Organization
Contact information
Practice address
1983 LAKE SHADOW WAY, SUWANEE, GA 30024-4311
(678) 908-5919
(770) 822-2337
Mailing address
1983 LAKE SHADOW WAY, SUWANEE, GA 30024-4311
(678) 908-5919
(770) 822-2337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171712A
—
GA
Enumeration date
06/29/2016
Last updated
06/29/2016
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