Organization
AMEDISYS GEORGIA LLC
Active
Other names
Coosa Valley Home Health an Amedisys Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1573 ROME HWY, CEDARTOWN, GA 30125-4402
(770) 748-9318
(770) 748-9898
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
057-249
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00828429C
—
GA
Enumeration date
04/16/2007
Last updated
04/03/2017
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