# POWER WHEELCHAIR SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEAVENLY COMPANION CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700256237
- **Authorized official:** OMOYE TRACY OROBOR BPA, MHA/GER (DIRECTOR)
- **Authorized official phone:** (404) 484-2024

## Contact information

- **Practice address:** 320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
- **Practice address phone:** (404) 484-2024
- **Practice address fax:** (883) 888-8825
- **Mailing address:** 320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
- **Mailing address phone:** (404) 484-2024
- **Mailing address fax:** (888) 388-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 031-R-1294 | GA | Yes |

## Other

- **Enumeration date:** 09/27/2015
- **Last updated:** 03/31/2020