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Organization

CCENO HOME HEALTHCARE SVCS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NDUBUISI GODWIN OCHUBA B.SC; MBA (PROGRAM ADMINISTRATOR)
(770) 693-9465
Entity
Organization

Contact information

Practice address
5745 WENDY BAGWELL PKWY, SUITE 1, HIRAM, GA 30141-2805
(770) 693-9465
(877) 832-2127
Mailing address
PO BOX 54, POWDER SPRINGS, GA 30127-0054
(770) 693-9465
(877) 832-2127

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110R0673
GA

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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