Organization
INTABWE COMMUNITY,INC
Active
Other names
Intabwe community,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME NDIKUMUKIZA (DIRECTOR)
(404) 964-2147
Entity
Organization
Contact information
Practice address
3938 E PONCE DE LEON AVE STE D, CLARKSTON, GA 30021-8104
(404) 964-2147
Mailing address
605 ASHLEY PL, STONE MOUNTAIN, GA 30083-3395
(404) 964-2147
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
09/18/2023
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