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Organization
NINE SKY LLC
Active
Organization
NINE SKY LLC
Active
Other names
Hangbok adult Day Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAEJIN KO (MANAGING MEMBER)
(770) 447-4898
Entity
Organization
Contact information
Practice address
6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
(770) 447-4898
Mailing address
6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
(770) 447-4898
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
068505679A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068505679A
—
GA
Enumeration date
05/12/2014
Last updated
05/12/2014
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