Organization
BISOL HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEBISI O ADEWAKUN (ADMINISTRATOR)
(404) 285-7276
Entity
Organization
Contact information
Practice address
2759 MOUNT ZION PKWY, SUITE D, JONESBORO, GA 30236-2568
(404) 285-7276
Mailing address
1234 JULIE CT, RIVERDALE, GA 30296-2254
(404) 285-7276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031-R-0745
GA
253Z00000X
In Home Supportive Care Agency
031-R-0745
GA
Other
Enumeration date
09/14/2011
Last updated
12/01/2011
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