Individual
MRS. WILLIEMAE OKWANDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER/ADMINISTRATOR
Contact information
Practice address
818 BLACK DIAMOND DR, MCDONOUGH, GA 30253-8822
(770) 474-4207
(770) 474-4898
Mailing address
818 BLACK DIAMOND DR, MCDONOUGH, GA 30253-8822
(770) 474-4207
(770) 474-4898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
075-R-0740
GA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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