Organization
GENTLECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORY O OSADIAYE RN, BSN, PMHNP-BC (CLINICAL DIRECTOR)
(678) 670-9554
Entity
Organization
Contact information
Practice address
250 CONSTITUTION BLVD, LAWRENCEVILLE, GA 30046-8432
(678) 670-9554
(678) 539-8899
Mailing address
780 MARTIN FIELD DR, LAWRENCEVILLE, GA 30045-5270
(678) 670-9554
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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