Organization
JUSTIN HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANSELM UGONNA (AGENCY ADMINISTRATOR)
(912) 349-6441
Entity
Organization
Contact information
Practice address
5859 ABERCORN ST, BLDG 2, UNIT 5, SAVANNAH, GA 31405-5500
(912) 349-6441
(912) 349-6482
Mailing address
5859 ABERCORN ST, BLDG 2, UNIT 5, SAVANNAH, GA 31405-5500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
025-R-0956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132157A
—
GA
Enumeration date
09/15/2013
Last updated
04/04/2014
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