Organization
GREENLINE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L FULLER (ADMINISTRATOR)
(678) 463-4666
Entity
Organization
Contact information
Practice address
1572 HIGHWAY 85 N, SUITE 338, FAYETTEVILLE, GA 30214
(678) 885-9765
(678) 885-9764
Mailing address
7360 HOBGOOD RD, FAIRBURN, GA 30213-2684
(678) 885-9765
(678) 885-9764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-1398
GA
Other
Enumeration date
06/24/2016
Last updated
04/20/2017
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