# FARETH HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1821338518
- **Authorized official:** TEMILADE OYEKUNLE LPN (ADMINISTRATOR)
- **Authorized official phone:** (770) 485-3166

## Contact information

- **Practice address:** 3650 LONG LAKE DR, DOUGLASVILLE, GA 30135-7652
- **Practice address phone:** (770) 485-3166
- **Practice address fax:** (770) 485-3240
- **Mailing address:** PO BOX 1071, DOUGLASVILLE, GA 30133-1071
- **Mailing address phone:** (770) 485-3166
- **Mailing address fax:** (770) 485-3240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 048-R-0964 | GA | Yes |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 03/17/2017