Organization
FIRST IMEX CORP
Active
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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