Organization
ADVANCE HOME CARE & MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE EZEH OKIYIE LPN (OWNER/CEO)
(770) 572-9328
Entity
Organization
Contact information
Practice address
1109 GARRISON PLANTATION DR SE, MARIETTA, GA 30060-3145
(770) 572-9328
(404) 445-8008
Mailing address
1109 GARRISON PLANTATION DR SE, MARIETTA, GA 30060-3145
(770) 572-9328
(404) 445-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN157280
GA
164W00000X
Licensed Practical Nurse
LPN075934
GA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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