Organization
DOVE HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKAMBA ALFRED ETTE (ADMINISTRATOR)
(678) 545-1295
Entity
Organization
Contact information
Practice address
6659 MORNING DOVE PL, JONESBORO, GA 30236-1319
(678) 545-1295
(770) 472-8998
Mailing address
6659 MORNING DOVE PL, JONESBORO, GA 30236-1319
(678) 545-1295
(770) 472-8998
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031-R-0363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031-R-0363
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
05
—
371443418A
—
GA
Enumeration date
08/16/2010
Last updated
08/16/2010
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