Organization
GODS APPOINTED TIME PRIVATE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KENYA YOLONDA JONES II MESICAL ASSISTANT (DIRECTOR)
(404) 707-0527
Entity
Organization
Contact information
Practice address
2625 CHARLESTOWN DR, COLLEGE PARK, GA 30337-3943
(404) 707-0527
Mailing address
2625 CHARLESTOWN DR, COLLEGE PARK, GA 30337-3943
(404) 707-0527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R1066
GA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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