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Organization
KOKUA COMMUNITY SERVICES LLC
Active
Organization
KOKUA COMMUNITY SERVICES LLC
Active
Other names
Synergy HomeCare of Fayetteville Ga LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NIGEL GAUNTLETT (OWNER)
(470) 352-0524
Entity
Organization
Contact information
Practice address
288 HIGH WAY 314, SUITE C, FAYETTEVILLE, GA 30214
(470) 352-0524
Mailing address
165 KEATON DR, FAYETTEVILLE, GA 30215-2035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
09/25/2024
Last updated
10/22/2024
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