Organization
AVANA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JECINTA OGBEH (CEO)
(470) 430-1355
Entity
Organization
Contact information
Practice address
101 WOODLAND WAY STE 102, CANTON, GA 30114-4331
(470) 430-1355
(470) 222-8805
Mailing address
13000 AVONLEA PL APT 202, WOODSTOCK, GA 30189-4918
(404) 493-8341
(470) 222-8805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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