Organization
EXTRAORDINARY HAND OVER HANDS ASSOCIATES (EHOHA) LLC
Active
Other names
EXTRAORDINARY HAND OVER HANDS ASSOCIATES (EHOHA) LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASHAREL S FORREST (OWNER)
(574) 300-1282
Entity
Organization
Contact information
Practice address
1504 CALLAWAY LOOP, CONYERS, GA 30012-3670
(574) 300-1282
Mailing address
1504 CALLAWAY LOOP, CONYERS, GA 30012-3670
(574) 300-1282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
314000000X
Skilled Nursing Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063288454
GEORGIA
—
05
—
1063288454
—
GA
Enumeration date
12/04/2023
Last updated
12/04/2023
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