PROVIDENCE CARE INC
Agencies at Broad St, Fairburn, GA

License number
Georgia 060-R-1019
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. STELLA NGOZI OKPALA PHARM.D
Title: DIRECTOR/OWNER
Phone: (404) 931-7854
Address
Address
216 NW Broad St STE B, Fairburn, GA 30213
National Provider ID: 1376805630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE CARE INC at bizstanding.com

PROVIDENCE CARE, INC

216 W Broad St SUITE B, Fairburn, GA 30213

Industry:
Home Health Care Services
Doing business as:
Providence Home Cla Services<br>Providence Private Home Care
Registration:
Mar 28, 2011
State ID:
11026490
Business type:
Domestic Profit Corporation
CFO:
Ngozi Stella Okpala (CFO), 216 W Broad St #13, Fairburn, GA 30213 (Physical)
Agent:
Stella Okpala,216 W Broad St SUITE B, Fairburn, GA (Physical)

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