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Organization

ALPHA-OHMS HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHINEDU UBANI (ADMINISTRATOR)
(404) 655-9155
Entity
Organization

Contact information

Practice address
5409 THE VYNE AVE, ATLANTA, GA 30349-8736
(404) 655-9155
(404) 600-5396
Mailing address
5409 THE VYNE AVE, ATLANTA, GA 30349-8736
(404) 655-9155
(404) 600-5396

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-1623
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003204165A
GA
05
003204165B
GA
05
003205291A
GA
Enumeration date
06/26/2018
Last updated
06/26/2018
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