Organization
BEULAH HEPZIBAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAVOR OKE (ADMINISTRATOR)
(229) 389-5382
Entity
Organization
Contact information
Practice address
4052 JOSHUA LN, DOUGLASVILLE, GA 30135-2757
(229) 389-5382
Mailing address
4052 JOSHUA LN, DOUGLASVILLE, GA 30135-2757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
048-R-1264
GA
Other
Enumeration date
05/26/2014
Last updated
03/10/2015
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