Organization
MANGA HEALTH CONSULTANTS, DBA / REGIONAL
Active
Other names
Regional Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCY BOH MANGA APRN, MSN (DIRECTOR OF NURSING)
(678) 863-2342
Entity
Organization
Contact information
Practice address
699 PATHVIEW CT, DACULA, GA 30019-7849
(770) 237-8835
(770) 237-8833
Mailing address
699 PATHVIEW CT, DACULA, GA 30019-7849
(770) 237-8835
(770) 237-8833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
067-R-0854
GA
374U00000X
Home Health Aide
37
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130519A
—
GA
05
—
003130522A
—
GA
Enumeration date
05/11/2013
Last updated
05/11/2013
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