Organization
EMMANUEL'S HOME HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERTRUDE HAWA BANKS (OWNER)
(678) 499-5636
Entity
Organization
Contact information
Practice address
6375 SPALDING DR, PEACHTREE CORNERS, GA 30092-4229
(678) 499-5636
Mailing address
6375 SPALDING DR, PEACHTREE CORNERS, GA 30092-4229
(678) 499-5636
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
067-R-1347
GA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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