Organization
ELODELL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LETITIA RICHISON (ADMINISTRATOR)
(770) 255-8324
Entity
Organization
Contact information
Practice address
5716 WINCHESTER PL, LITHONIA, GA 30038-4082
(770) 255-8324
(770) 322-0808
Mailing address
PO BOX 1710, LITHONIA, GA 30058-1020
(770) 255-8324
(770) 322-0808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0166
GA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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