Addis Personal Care

NPI #1396184164 in Dacula, Georgia

Provider Information

NPI Number: 1396184164
Entity Type: Organization
Organization Name: Addis Personal Care
Primary Specialty: Home Health
Enumeration Date: Jun 14, 2013
Last Updated: Jun 14, 2013

Practice Location

Address: 3525 LYNLEY MILL DR
City: Dacula
State: Georgia
ZIP Code: 30019-5046
Phone: (404) 644-8554

Authorized Official

Name: ROMAN ADHANE, B.A
Title: ADMINISTRATOR
Phone: (404) 644-8554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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