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Contact Information

365 HEALTH CARE AGENCY, LLC
568 VINTAGE POINTE RUN
MABLETON, GA30126-7211
 Phone: 404-322-8349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for 365 HEALTH CARE AGENCY, LLC

NPI Number 1306550967
LBN Legal business name 365 HEALTH CARE AGENCY, LLC
Authorized official NICKIEA KEESE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2023
Last updated 01/09/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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