Organization · NPI-2

Anesi Healthcare Services INC

Home Health · Mableton, GA

NPI number1164028742
StatusActive
Last updated in NPPESDec 8, 2020

Details

NPI
1164028742
Entity type
Organization (NPI-2)
Legal business name
Anesi Healthcare Services INC
Organization subpart
No
Enumeration date
Dec 8, 2020
Certification date
Dec 8, 2020
Last updated
Dec 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

873 Bishops Run Ln
Mableton, GA 30126-6416

Phone 678-499-1414 · Fax 470-203-2111

Mailing address

873 Bishops Run Ln
Mableton, GA 30126-6416

Phone 678-499-1414 · Fax 470-203-2111

Authorized official

Idongesit Agoda
Owner/Ceo
6784991414

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