NPI 1174089544 · live from the CMS NPI Registry
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Home Health in Marietta, GA. National Provider Identifier 1174089544, active.
NPI record
| NPI | 1174089544 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1901 Shelburne Cv, Marietta, GA 30068 |
| Practice phone | 404-797-8946 |
| Mailing address | 33 Baker Blvd, Fairlawn, OH 44333 |
| Enumerated | February 11, 2019 |
| Last updated | February 11, 2019 |
| Authorized official | Victor Parker, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.