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Philemon Healthcare Services LLC

Home Health in Stone Mountain, GA. Organization (NPI-2).

NPI number1962055640
StatusActive
Last updated in NPPESJul 22, 2019

Details

NPI
1962055640
Entity type
Organization (NPI-2)
Legal business name
Philemon Healthcare Services LLC
Organization subpart
No
Enumeration date
Jul 22, 2019
Last updated
Jul 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

925 Main St Ste 300-116
Stone Mountain, GA 30083-3098

Phone 678-932-8056 · Fax 678-797-7020

Mailing address

622 Pennylake Lane
Stone Mountain, GA 30087-5768

Phone 770-465-9386

Authorized official

Ruthie A Thompson
Cfo
7704659386

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