Basic Information
Provider Information
NPI: 1023488152
EntityType: 2
ReplacementNPI:  
OrganizationName: EPIC HEALTH SERVICES INC
LastName:  
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Mailing Information
Address1: 400 INTERSTATE NORTH PKWY SE STE 1600
Address2:  
City: ATLANTA
State: GA
PostalCode: 303395047
CountryCode: US
TelephoneNumber: 4704648000
FaxNumber:  
Practice Location
Address1: 1 TREMONT ST
Address2:  
City: TAUNTON
State: MA
PostalCode: 027803054
CountryCode: US
TelephoneNumber: 5088240190
FaxNumber: 5088240675
Other Information
ProviderEnumerationDate: 10/01/2015
LastUpdateDate: 09/07/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: STRANGE
AuthorizedOfficialFirstName: HARMON
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: PRESIDENT/CEO
AuthorizedOfficialTelephone: 4704648000
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 09/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X  Y AgenciesHome Health 

No ID Information.


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