Organization
FUNCTIONS HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUGBENGA OGUNSANYA PT, DPT (EXECUTIVE DIRECTOR)
(678) 793-7887
Entity
Organization
Contact information
Practice address
127 LAKE TER, MCDONOUGH, GA 30253-6546
(678) 793-7887
Mailing address
127 LAKE TER, MCDONOUGH, GA 30253-6546
(678) 793-7887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT010118
GA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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