Organization
SOUTHERN CRESCENT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ONYIBO MOH (ADMINISTRATOR)
(678) 360-6003
Entity
Organization
Contact information
Practice address
1351 GRINDENWALD DR, JONESBORO, GA 30238-8001
(678) 360-6003
(770) 472-0107
Mailing address
1351 GRINDENWALD DR, JONESBORO, GA 30238-8001
(678) 360-6003
(770) 472-0107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
031-R-0360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164763686A
—
GA
Enumeration date
12/28/2009
Last updated
12/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us