Organization
EPIPHANY HEALTHCARE SYSTEM, INC
Active
Other names
Accessible Health Care of South Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON OSANU RN (ADMINISTRATOR)
(770) 306-3416
Entity
Organization
Contact information
Practice address
1015 TYRONE RD STE 110, TYRONE, GA 30290-2407
(770) 306-3416
(770) 306-3417
Mailing address
4405 MALL BLVD, SUITE 518, UNION CITY, GA 30291-2044
(770) 306-3416
(770) 306-3417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-0322
GA
251S00000X
Community/Behavioral Health Agency
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—
Other
Enumeration date
12/27/2007
Last updated
08/20/2018
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