Organization Name: | OMEGA HEALTH CARE OF GEORGIA INC |
NPI Number: | 1376775676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSS ROGERS (CEO) |
Mailing Address: | 1201 Peachtree St Ne Suite 1240 Atlanta |
State: | GA US |
Postal Code: | 303616302 |
Phone Number: | 8162684130 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2009 |
NPI Last Update Date: | 08/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |