Organization
CELESTIAL HEALHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUCONDA STURDIVANT NP (ADMINISTRATOR)
(678) 863-5537
Entity
Organization
Contact information
Practice address
248 BOB WAGES RD, BOGART, GA 30622-2996
(678) 863-5537
Mailing address
248 BOB WAGES RD, BOGART, GA 30622-2996
(678) 863-5537
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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