Organization
ADVENTIST HOMECARE AND MEDICAL SERVICES
Active
Other names
Adventist Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
TED OHANAJA (GENERAL MANAGER)
(229) 273-4100
Entity
Organization
Contact information
Practice address
1129 N 5TH STREET EXT, CORDELE, GA 31015-3776
(229) 273-4100
Mailing address
PO BOX 4881, MACON, GA 31208-4881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
156-R-1269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159377A
—
GA
Enumeration date
06/09/2015
Last updated
06/09/2015
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