Organization
FIRST IMEX CORP
Active
Other names
More Care II, Inc, MORE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
AYODELE AYEDUN M.D. (DIRECTOR)
(912) 237-4793
Entity
Organization
Contact information
Practice address
5038 STORY MILL RD, HEPIZIBAH, GA 30815
(706) 592-5992
Mailing address
5038 STORY MILL RD, HEPIZIBAH, GA 30815
(706) 592-5992
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA002055
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326100127A
—
GA
Enumeration date
03/13/2014
Last updated
02/11/2020
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