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General NPI Number Information
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NPI Number | 1548321698
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Entity Type | Organization
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Legal Business Name | ALTAMAHA HOMECARE, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 52 N OAK ST
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City | BAXLEY
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State | GA
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Zip | 31513-0031
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Country | US
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Telephone | 912-367-1046
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Fax | 912-366-0068
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Provider Business Mailing Address
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Address Line | 52 N OAK ST
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City | BAXLEY
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State | GA
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Zip | 31513-0031
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Country | US
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Telephone | 912-367-1046
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Fax | 912-366-0068
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | LISA DEEN
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Credential |
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Telephone | 912-367-1046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 001-289-H
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License Number State | GA
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