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Organization

CRESCENT HEALTHCARE SYSTEMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FAOSAT O AJAO (ADMINISTRATOR)
(678) 698-0078
Entity
Organization

Contact information

Practice address
7032 CHIMNEY RIDGE DR, RIVERDALE, GA 30296-2233
(678) 698-0078
(678) 952-8959
Mailing address
7032 CHIMNEY RIDGE DR, RIVERDALE, GA 30296-2233
(678) 698-0078
(678) 952-8959

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
031-R-0512
GA

Other

Enumeration date
12/26/2010
Last updated
12/26/2010
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