Organization
NINE SKY LLC
Active
Other names
Hangbok adult Day Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAEJIN KO (MANAGING MEMBER)
(770) 447-4898
Entity
Organization
Contact information
Practice address
6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
(770) 447-4898
Mailing address
6000 LIVE OAK PKWY, NORCROSS, GA 30093-1732
(770) 447-4898
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
068505679A
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068505679A
—
GA
Enumeration date
05/12/2014
Last updated
05/12/2014
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