Organization
DEVINE FAVOR PRIVATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL C OKOYE SR. SOCIAL WORKER (DIRECTOR)
(404) 552-5887
Entity
Organization
Contact information
Practice address
2997 ROLLING GREEN RDG, DOUGLASVILLE, GA 30135-1749
(404) 552-5887
Mailing address
2997 ROLLING GREEN RDG, DOUGLASVILLE, GA 30135-1749
(404) 552-5887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
048R0766
GA
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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