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Organization

CHYCHYS HEALTH CARE AND MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHYCHY OKOLI (ADMINISTRATOR)
(404) 216-8202
Entity
Organization

Contact information

Practice address
3875 POWDER SPRINGS RD, SUITE C-3, POWDER SPRINGS, GA 30127-2759
(678) 855-6522
Mailing address
3875 POWDER SPRINGS RD, SUITE C-3, POWDER SPRINGS, GA 30127-2759
(678) 855-6522

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-1115
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003141540A
GA
Enumeration date
08/21/2014
Last updated
10/14/2015
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