Organization
RAZOM HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA JOY OFFODILE (OWNER/ADMINISTRATOR)
(404) 429-5597
Entity
Organization
Contact information
Practice address
7803 BAR HARBOR DR, RIVERDALE, GA 30296-3370
(404) 429-5597
Mailing address
7803 BAR HARBOR DR, RIVERDALE, GA 30296-3370
(404) 429-5597
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003231233A
—
GA
05
—
003231233B
—
GA
Enumeration date
06/30/2020
Last updated
02/23/2022
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