Organization
ARCHWAY QUALITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KULA ROSE KANNEH (CEO/OFFICE MANAGER)
(770) 696-1961
Entity
Organization
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(678) 404-5779
(678) 404-5929
Mailing address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(678) 404-5779
(678) 404-5929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
GA
Enumeration date
01/19/2022
Last updated
02/25/2022
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