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Organization

DIVINERESTORATIONHELTHCARE@YAHOO.COM

Active
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Organization

DIVINERESTORATIONHELTHCARE@YAHOO.COM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OKAFOR THEODORE ONYAKA (OWNER)
(678) 314-4383
Entity
Organization

Contact information

Practice address
7736 PARKSIDE DR, LITHIA SPRINGS, GA 30122-6869
(678) 314-4383
Mailing address
7736 PARKSIDE DR, LITHIA SPRINGS, GA 30122-6869
(678) 314-4383

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL

Other

Enumeration date
08/29/2021
Last updated
08/29/2021
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