Mystique Homecare Agency
Mystique Homecare Agency is a Community Based Hospice Care Agency in Duluth, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
3675 Crestwood Pkwy NW Ste 400Duluth, GA 30096-5054
Phone: (470) 509-5533
Fax: (470) 625-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Community Based Hospice Care Agency | Taxonomy 251G00000X |
Record details
| NPI number | 1750908018 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bukola Sholanke — Administrator · (470) 509-5533 |
| NPI enumerated | July 1, 2020 |
| Last updated in NPPES | October 10, 2020 |
| Certification date | October 10, 2020 |
| Mailing address | 3675 Crestwood Pkwy Nw Ste 400, Duluth, GA 30096-5054 |
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