Organization
EKD FAMILY SERVICES
Active
Parent organization
EKD COMMUNITY OPPORTUNITY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EKD COMMUNITY OPPORTUNITY CENTER
Authorized official
MS. EULA BERASSA B.S. (ADMINISTRATOR)
(404) 933-7223
Entity
Organization
Contact information
Practice address
1581 SUMMIT POND RD, LOGANVILLE, GA 30052-5473
(678) 344-6602
Mailing address
1581 SUMMIT POND RD, LOGANVILLE, GA 30052-5473
(678) 344-6602
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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