Organization
POWER WHEELCHAIR SERVICES
Active
Other names
HEAVENLY COMPANION CARE
Organization subpart
No
Provider details
NPI number
Authorized official
OMOYE TRACY OROBOR BPA, MHA/GER (DIRECTOR)
(404) 484-2024
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(404) 484-2024
(883) 888-8825
Mailing address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(404) 484-2024
(888) 388-8825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031-R-1294
GA
Other
Enumeration date
09/27/2015
Last updated
03/31/2020
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