Organization
FIRST TRINITY HOMECARESERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMEKA JUSTIN OTIWU BBA (ADMINISTRATOR)
(770) 355-4114
Entity
Organization
Contact information
Practice address
3965 BRADFORD WALK TRL, BUFORD, GA 30519-7840
(770) 831-0013
(770) 831-0122
Mailing address
3965 BRADFORD WALK TRL, BUFORD, GA 30519-7840
(770) 831-0013
(770) 831-0122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
067R0704
GA
251J00000X
Nursing Care Agency
Primary
067R0704
GA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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