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Organization

ANGEL'S LANDING HEALTHCARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CIDIA ALYSIA AWYIE (REGISTERED NURSE)
(404) 989-9171
Entity
Organization

Contact information

Practice address
1631 SMYRNA RD SW, CONYERS, GA 30094-6156
(770) 922-6293
Mailing address
1631 SMYRNA RD SW, CONYERS, GA 30094-6156
(404) 645-0164

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
122-R-1058
GA

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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