Organization
FARETH HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMILADE OYEKUNLE LPN (ADMINISTRATOR)
(770) 485-3166
Entity
Organization
Contact information
Practice address
3650 LONG LAKE DR, DOUGLASVILLE, GA 30135-7652
(770) 485-3166
(770) 485-3240
Mailing address
PO BOX 1071, DOUGLASVILLE, GA 30133-1071
(770) 485-3166
(770) 485-3240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
048-R-0964
GA
Other
Enumeration date
02/18/2013
Last updated
03/17/2017
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