Organization
CKCG HEALTHCARE SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL OKWUDILI OBUROTA (ADMINISTRATOR)
(770) 209-9998
Entity
Organization
Contact information
Practice address
5995 OAKBROOK PKWY, SUITE -B, NORCROSS, GA 30093
(770) 209-9998
(770) 729-9861
Mailing address
5995 OAKBROOK PKWY, SUITE -B, NORCROSS, GA 30093
(770) 209-9998
(770) 729-9861
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
060-R-0111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485426892A
—
GA
05
—
485426892B
—
GA
Enumeration date
10/19/2006
Last updated
09/24/2014
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