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Organization

DIVINE FAVOR HEALTH CARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL CHIEDOZIE OKOYE SR. (DIRECTOR)
(404) 552-5887
Entity
Organization

Contact information

Practice address
2997 ROLLING GREEN RDG, DOUGLASVILLE, GA 30135-1749
(404) 552-5887
Mailing address
2997 ROLLING GREEN RDG, DOUGLASVILLE, GA 30135-1749
(404) 552-5887

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
048-R-0766
GA

Other

Enumeration date
04/28/2011
Last updated
04/28/2011
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