Organization
THE JOHNICKIE GROUP
Active
Other names
Johnickie Spahouse
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POMDREST J HENRY (OWNER)
(678) 733-0141
Entity
Organization
Contact information
Practice address
5050 UNION ST UNIT 805, UNION CITY, GA 30291-2729
(678) 733-0141
(404) 393-2101
Mailing address
5050 UNION ST UNIT 805, UNION CITY, GA 30291-2729
(404) 810-1971
(404) 420-2744
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/11/2015
Last updated
01/05/2016
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