# PHEMADEX HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1982074407
- **Authorized official:** MR. OLUFEMI ADEYEMO (ADMINISTRATOR)
- **Authorized official phone:** (770) 843-5897

## Contact information

- **Practice address:** 830 ASHLAND PARK WAY, LAWRENCEVILLE, GA 30045-6808
- **Practice address phone:** (770) 843-5897
- **Practice address fax:** (770) 544-7074
- **Mailing address:** 830 ASHLAND PARK WAY, LAWRENCEVILLE, GA 30045-6808
- **Mailing address phone:** (770) 843-5897
- **Mailing address fax:** (770) 544-7074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 067R1324 | GA | Yes |

## Other

- **Enumeration date:** 09/26/2015
- **Last updated:** 09/26/2015