Organization
BENITAZ INC
Active
Other names
Benitaz Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN OBI (DIRECTOR)
(719) 209-8200
Entity
Organization
Contact information
Practice address
115 SWILCAN DR, FAYETTEVILLE, GA 30215-7815
(720) 885-3959
Mailing address
115 SWILCAN DR, FAYETTEVILLE, GA 30215-7815
(719) 209-8200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
05/12/2023
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