Organization
VEMANDAL NURSING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATIENCE AYUK MAYO NP-C, FNP-BC (ADMINISTRATOR)
(770) 577-7327
Entity
Organization
Contact information
Practice address
34OO CHAPEL HILL ROAD, SUITE 307, DOUGLASVILLE, GA 30135
(770) 577-7327
(770) 577-6573
Mailing address
PO BOX 1563, DOUGLASVILLE, GA 30133-1563
(770) 577-7327
(770) 577-6573
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
048-R-0024
GA
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040968984B
—
GA
05
—
040968984C
—
GA
Enumeration date
01/16/2007
Last updated
12/23/2019
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