Provider Demographics
NPI:1245761402
Name:EUNICON HOMECARE SERVICES
Entity Type:Organization
Organization Name:EUNICON HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-246-4935
Mailing Address - Street 1:6065 ROSWELL RD
Mailing Address - Street 2:SUITE 670
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4011
Mailing Address - Country:US
Mailing Address - Phone:404-246-4935
Mailing Address - Fax:404-748-9695
Practice Address - Street 1:6065 ROSWELL RD
Practice Address - Street 2:SUITE 670
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4011
Practice Address - Country:US
Practice Address - Phone:404-246-4935
Practice Address - Fax:404-748-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0109251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care