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General NPI Number Information
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NPI Number | 1770882300
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Entity Type | Organization
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Legal Business Name | SUNCREST HOME HEALTH OF GEORGIA, INC.
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 2131 & 2133 PACE STREET
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City | COVINGTON
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State | GA
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Zip | 30014-1526
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Country | US
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Telephone | 678-625-7105
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Fax | 678-625-7107
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | SECRETARY
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Name | ALLISON BROWN
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Credential |
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Telephone | 502-394-2100
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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 | 107-243-H
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License Number State | GA
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