Organization
AMERICAN HOME CARE & MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED OHANAJA (AGENCY ADMINISTRATOR)
(478) 787-6040
Entity
Organization
Contact information
Practice address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 787-6040
(478) 787-6039
Mailing address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 787-6040
(478) 787-6039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011R0376
GA
251J00000X
Nursing Care Agency
011R0376
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011R0376
DEPARTMENT OF HUMAN RESOURCES
GA
Enumeration date
06/24/2008
Last updated
06/24/2008
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