Organization
FIRST CORINTHIAN HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED IBEGBULAM (DIRECTOR)
(478) 472-0161
Entity
Organization
Contact information
Practice address
121 S DOOLY ST, MONTEZUMA, GA 31063-1603
(478) 472-0150
(478) 472-0157
Mailing address
121 S DOOLY ST, MONTEZUMA, GA 31063-1603
(478) 472-0150
(478) 472-0157
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
046-R-1142
GA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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