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Organization

PROFESSIONAL HEALTHCARE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BEN O OBIOFUMA SR. (EXECUTIVE DIRECTOR)
(404) 286-4030
Entity
Organization

Contact information

Practice address
4319 COVINGTON HWY, SUITE 309B, DECATUR, GA 30035-1210
(404) 286-4030
(404) 286-1442
Mailing address
4319 COVINGTON HWY, SUITE 309B, DECATUR, GA 30035-1210
(404) 286-4030
(404) 286-1442

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-0069
GA

Other

Enumeration date
03/28/2007
Last updated
08/22/2020
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