Organization
DEVONSHIRE HEALTHCARE SYSTEMS, INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVARISTER ULINFUN (PRESIDENT/ADMINISTRATOR)
(303) 877-6709
Entity
Organization
Contact information
Practice address
703 INDEPENDENCE LN, ACWORTH, GA 30102-3728
(303) 877-6709
Mailing address
703 INDEPENDENCE LN, ACWORTH, GA 30102-3728
(303) 877-6709
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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