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NPI Code Detail

MEDICARE: MEDI-CURE

MEDICARE: MEDI-CURE
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
1251G00000XCommunity Based Hospice Care Agency044-R-0991GA
2251J00000XNursing Care Agency044-R-0991GA
3253Z00000XIn Home Supportive Care Agency044-R-0991GA
4251E00000XHome Health Agency044-R-0991GA

General Provider Information

NPI Number : 1750653614
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDI-CURE
Provider Business Mailing Address
First Line : 1227 ROCKBRIDGE RD STE 208-196
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-3064
Country : US
Telephone Number : 770-755-1394
Fax Number :
Provider Business Practice Location Address
First Line : 1227 ROCKBRIDGE RD STE 208-196
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-3064
Country : US
Telephone Number : 770-755-1394
Fax Number :
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MRS. RONDINE OCEOLA GORDON
Credential :
Telephone Number : 770-879-7382
Provider Enumeration Date : 02/07/2012
Last Update Date : 02/07/2012

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Directions to “MEDI-CURE ” Practice Location

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