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Organization
GODS APPOINTED TIME PRIVATE HOMECARE
Active
Organization
GODS APPOINTED TIME PRIVATE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KENYA YOLONDA JONES II MESICAL ASSISTANT (DIRECTOR)
(404) 707-0527
Entity
Organization
Contact information
Practice address
2625 CHARLESTOWN DR, COLLEGE PARK, GA 30337-3943
(404) 707-0527
Mailing address
2625 CHARLESTOWN DR, COLLEGE PARK, GA 30337-3943
(404) 707-0527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R1066
GA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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