Organization
KOSTIC GROUP LLC
Active
Other names
Kostic Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOYIN T ADELAJA (PRESIDENT)
(770) 672-6175
Entity
Organization
Contact information
Practice address
2985 GORDY PKWY, SUITE 212, MARIETTA, GA 30066-3078
(770) 672-6175
(770) 578-9126
Mailing address
2985 GORDY PKWY, SUITE 212, MARIETTA, GA 30066-3078
(770) 672-6175
(770) 578-9126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033R1034
GA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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