Individual
HANSEN NKEFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH
Contact information
Practice address
2775 CRUSE RD STE 1603, LAWRENCEVILLE, GA 30044-7145
(404) 933-9170
Mailing address
2208 AUSTIN COMMON WAY, DACULA, GA 30019-7777
(404) 933-9170
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
01/20/2016
Last updated
02/01/2016
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