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Organization
FIRST CORINTHIAN HOMECARE, INC.
Active
Organization
FIRST CORINTHIAN HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED IBEGBULAM (ADMINISTRATOR)
(770) 627-5029
Entity
Organization
Contact information
Practice address
2759 DELK RD SE, SUITE 2550, MARIETTA, GA 30067-8847
(770) 627-5029
(770) 485-5361
Mailing address
2759 DELK RD SE, SUITE 2550, MARIETTA, GA 30067-8847
(770) 627-5029
(770) 485-5361
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
033-R-0815
GA
253Z00000X
In Home Supportive Care Agency
Primary
033-R-0815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123352A
—
GA
Enumeration date
09/23/2011
Last updated
05/04/2012
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