Amedisys Northwest, L.l.c.

NPI #1982822623 in Canton, Georgia

Provider Information

NPI Number: 1982822623
Entity Type: Organization
Organization Name: Amedisys Northwest, L.l.c.
Subpart: Yes (part of a larger organization)
Parent Organization: AMEDISYS NORTHWEST, L.L.C.
Primary Specialty: Home Health
Enumeration Date: Apr 20, 2007
Last Updated: Sep 28, 2016

Practice Location

Address: 111 MOUNTAIN VISTA BLVD
Address 2: SUITE 145
City: Canton
State: Georgia
ZIP Code: 30115-4272
Phone: (770) 345-3630

Authorized Official

Name: MR. PAUL B KUSSEROW
Title: PRESIDENT
Phone: (225) 292-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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