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Organization
ADVENTIST HOMECARE AND MEDICAL SERVICES
Active
Organization
ADVENTIST HOMECARE AND MEDICAL SERVICES
Active
Other names
Adventist Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
TED OHANAJA (GENERAL MANAGER)
(229) 273-4100
Entity
Organization
Contact information
Practice address
1129 N 5TH STREET EXT, CORDELE, GA 31015-3776
(229) 273-4100
Mailing address
PO BOX 4881, MACON, GA 31208-4881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
156-R-1269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159377A
—
GA
Enumeration date
06/09/2015
Last updated
06/09/2015
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