Organization
ESHCOL HEALTHCARE AGENCY LLC
Active
Other names
Eshcol Healthcare Agency llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONIA BADA (PRESIDENT)
(470) 419-1040
Entity
Organization
Contact information
Practice address
1169 LEYBOURNE CV, LAWRENCEVILLE, GA 30045-3573
(470) 419-1040
Mailing address
1169 LEYBOURNE CV, LAWRENCEVILLE, GA 30045-3573
(470) 475-0474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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