Octavia House, Llc

NPI 1225372998 - Respite Care - 385H00000X

NPI Details
NPI 1225372998
Enumeration Date 11/20/2012
Last Updated 11/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NADINE A NADINE
Position DIRECTOR
Phone (404) 429-1752
Fax
Practice Location
105 GENEVIEVE CT
FAYETTEVILLE GA, 30215-4803, US
Phone (404) 429-1752
Fax
Business Location
105 GENEVIEVE CT
FAYETTEVILLE GA, 30215-4803, US
Phone
Fax
Toxanomy
Taxonomy Code 385H00000X
License State
License Number
Remove 1225372998 NPI Number
 

According to our database, Octavia House, Llc NPI is 1225372998, taxonomy code is 385H00000X Octavia House, Llc physically located at 105 Genevieve Ct, Fayetteville GA, 30215-4803. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1225372998 NPI number is provided on an as is basis without warranty of any kind. 1225372998 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia House, Llc are for informational purposes only.