Diversified Personal Home Care
Diversified Personal Home Care is a Home Health Agency in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2016.
- Licensed in
- GA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
145 McIntosh Place DrFayetteville, GA 30214-7318
Phone: (404) 993-1270
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|---|
| Alzheimer Center (Dementia Center) | Taxonomy 311500000X · Licence 056-R-1338 (GA) |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X · Licence 056-R-1338 (GA) |
Record details
| NPI number | 1760924278 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adesola Osilaja — Owner/Ceo · (404) 993-1270 |
| NPI enumerated | November 15, 2016 |
| Last updated in NPPES | March 28, 2017 |
| Mailing address | 145 McIntosh Place Dr, Fayetteville, GA 30214-7318 |
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