Organization
CONCORDIA HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDIEBERE EZEH (ADMINISTRATOR)
(770) 882-3347
Entity
Organization
Contact information
Practice address
8318 DURALEE LN STE 204, DOUGLASVILLE, GA 30134-2515
(770) 882-3347
Mailing address
8318 DURALEE LN STE 204, DOUGLASVILLE, GA 30134-2515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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