Organization
TRI-CHIPA HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PROSPER IKECHUKWU IGBOELI MD (ADMINISTRATOR)
(706) 380-6978
Entity
Organization
Contact information
Practice address
1417 AYLESBURY DR, EVANS, GA 30809-8214
(706) 380-6978
(762) 222-7421
Mailing address
1417 AYLESBURY DR, EVANS, GA 30809-8214
(706) 380-6978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
05/05/2021
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