Individual
ADEBO COMFORT FAOKUNLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 MYRTLE CRST, GROVETOWN, GA 30813-2299
(706) 619-7611
Mailing address
503 MYRTLE CRST, GROVETOWN, GA 30813-2299
(706) 619-7611
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP013086
GA
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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