MEDICARE: EUNICON HOMECARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	060-R-0109	GA

General Provider Information

NPI Number	:	1245761402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUNICON HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	6065 ROSWELL RD
Second Line	:	SUITE 670
City	:	ATLANTA
State	:	GA
Zip	:	30328-4011
Country	:	US
Telephone Number	:	404-246-4935
Fax Number	:	404-748-9695

Provider Business Practice Location Address
First Line	:	6065 ROSWELL RD
Second Line	:	SUITE 670
City	:	ATLANTA
State	:	GA
Zip	:	30328-4011
Country	:	US
Telephone Number	:	404-246-4935
Fax Number	:	404-748-9695

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. LOUIS MAHACHI
Credential	:
Telephone Number	:	404-246-4935

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	03/21/2017

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Directions to “EUNICON HOMECARE SERVICES ” Practice Location

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