Organization
FAMILY BRIDGE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORDELIA O OKWANDU BBA, MA, CNA (PROGRAM DIRECTOR)
(770) 473-4600
Entity
Organization
Contact information
Practice address
118 NORTH AVE, SUITE H, JONESBORO, GA 30236-8405
(770) 473-4600
(770) 473-4100
Mailing address
118 NORTH AVE, SUITE H, JONESBORO, GA 30236-8405
(770) 473-4600
(770) 473-4100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031R0035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102676361A
—
GA
05
—
102676361B
—
GA
Enumeration date
01/04/2007
Last updated
07/20/2010
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