Individual
LUCKY ADDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 PADDOCKS CT, POWDER SPRINGS, GA 30127-5514
(404) 932-3511
Mailing address
1440 PADDOCKS CT, POWDER SPRINGS, GA 30127-5514
(404) 932-3511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP010445
GA
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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