# FIRST CORINTHIAN HOMECARE, INC.

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

## Provider details

- **NPI number:** 1699058883
- **Authorized official:** TED IBEGBULAM (ADMINISTRATOR)
- **Authorized official phone:** (770) 627-5029

## Contact information

- **Practice address:** 2759 DELK RD SE, SUITE 2550, MARIETTA, GA 30067-8847
- **Practice address phone:** (770) 627-5029
- **Practice address fax:** (770) 485-5361
- **Mailing address:** 2759 DELK RD SE, SUITE 2550, MARIETTA, GA 30067-8847
- **Mailing address phone:** (770) 627-5029
- **Mailing address fax:** (770) 485-5361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 033-R-0815 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 033-R-0815 | GA | Yes |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 05/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003123352A | — | GA |