Organization
KOKUA COMMUNITY SERVICES LLC
Active
Other names
Synergy HomeCare of Fayetteville Ga LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NIGEL GAUNTLETT (OWNER)
(470) 352-0524
Entity
Organization
Contact information
Practice address
288 HIGH WAY 314, SUITE C, FAYETTEVILLE, GA 30214
(470) 352-0524
Mailing address
165 KEATON DR, FAYETTEVILLE, GA 30215-2035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/25/2024
Last updated
10/22/2024
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