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Organization
EPIPHANY HEALTHCARE SYSTEM, INC
Active
Organization
EPIPHANY HEALTHCARE SYSTEM, INC
Active
Other names
Accessible Health Care of South Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON OSANU RN (ADMINISTRATOR)
(770) 306-3416
Entity
Organization
Contact information
Practice address
1015 TYRONE RD STE 110, TYRONE, GA 30290-2407
(770) 306-3416
(770) 306-3417
Mailing address
4405 MALL BLVD, SUITE 518, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-0322
GA
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
12/27/2007
Last updated
08/20/2018
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