1ST SOURCE HEALTHCARE

MACON, GA
NPI1841664695
Entity TypeOrganization
Authorized ContactMICHAEL BRANDON LUCAS
Administrator
478-972-0748
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
1ST SOURCE HEALTHCARE
534 IVY BROOK WAY
MACON, GA 31210-4049
Phone number: 478-972-0748
Mailing Address
1ST SOURCE HEALTHCARE
534 IVY BROOK WAY
MACON, GA 31210-4049
Phone number: 478-972-0748
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