Organization
OMIC OF CORPORATION
Active
Other names
Christies Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSARETIN FESTUS ISIBOR (CEO/ADMINISTRATOR)
(770) 314-6244
Entity
Organization
Contact information
Practice address
3469 LAWRENCEVILLE HWY, SUITE 303, TUCKER, GA 30084-5866
(770) 939-0143
(770) 939-0145
Mailing address
3469 LAWRENCEVILLE HWY, SUITE 303, TUCKER, GA 30084-5866
(770) 939-0143
(770) 939-0145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PAYEE#965934007A
—
GA
Enumeration date
08/21/2013
Last updated
08/21/2013
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