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Organization
SOUTHEAST HEALTHCARE LLC
Active
Organization
SOUTHEAST HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY I UBANI NURSE (ADMINISTRATOR)
(770) 439-8990
Entity
Organization
Contact information
Practice address
2759 DELK RD SE STE 2135, MARIETTA, GA 30067-8860
(770) 439-8990
Mailing address
PO BOX 1304, POWDER SPRINGS, GA 30127-7304
(770) 439-8990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Enumeration date
03/25/2007
Last updated
10/24/2008
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