# CREUT HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CREUT HEALTH CARE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407295843
- **Legal business name:** CREUT HEALTH CARE, INC.
- **Authorized official:** MRS. ANGELA CHINENYE OKIYIE BSN, RN (ADMINISTRATOR)
- **Authorized official phone:** (678) 591-4901

## Contact information

- **Practice address:** 6982 MISTTOP LOOP, FAIRBURN, GA 30213-3060
- **Practice address phone:** (678) 591-4901
- **Mailing address:** 6982 MISTTOP LOOP, FAIRBURN, GA 30213-3060
- **Mailing address phone:** (678) 591-4901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 060-R-1067 | GA | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 06/19/2013
