Organization
SYNERGY HOMECARE OF FAYETTEVILLE GA LLC
Active
Parent organization
KOKUA COMMUNITY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOKUA COMMUNITY SERVICES LLC
Authorized official
NIGEL GAUNTLETT (OWNER)
(470) 352-0524
Entity
Organization
Contact information
Practice address
288 HIGH WAY 314, SUITE C, FAYETTEVILLE, GA 30214
(470) 352-0524
Mailing address
165 KEATON DR, FAYETTEVILLE, GA 30215-2035
(470) 352-0524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
09/11/2025
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