Organization
GEO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA EBERECHUKWU OKOYE FNP-C (CEO)
(310) 384-3058
Entity
Organization
Contact information
Practice address
632 ROCK HILL PKWY, LITHIA SPRINGS, GA 30122-3657
(770) 948-3717
Mailing address
632 ROCK HILL PKWY, LITHIA SPRINGS, GA 30122-3657
(310) 384-3058
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
RN189783
GA
261QP2300X
Primary Care Clinic/Center
Primary
F0117133
GA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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