Organization
GT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OKOYE (OWNER)
(404) 457-7165
Entity
Organization
Contact information
Practice address
217 ARROWHEAD BLVD, JONESBORO, GA 30236-1169
(404) 457-7165
Mailing address
250 WENDY WAY, DOUGLASVILLE, GA 30134-4440
(404) 457-7165
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0608544514
DRIVER'S LICENSE
GA
Enumeration date
08/23/2021
Last updated
08/23/2021
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