# FUNCTIONS HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396035044
- **Authorized official:** DR. OLUGBENGA OGUNSANYA PT, DPT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (678) 793-7887

## Contact information

- **Practice address:** 127 LAKE TER, MCDONOUGH, GA 30253-6546
- **Practice address phone:** (678) 793-7887
- **Mailing address:** 127 LAKE TER, MCDONOUGH, GA 30253-6546
- **Mailing address phone:** (678) 793-7887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PT010118 | GA | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011