Provider Demographics
NPI:1306204672
Name:OSTONIA HEALTHCARE INC.
Entity Type:Organization
Organization Name:OSTONIA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OKECHUKWU
Authorized Official - Middle Name:O
Authorized Official - Last Name:NNAJI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-841-4763
Mailing Address - Street 1:8431 BROWNS MILL TRCE
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-7509
Mailing Address - Country:US
Mailing Address - Phone:770-841-4763
Mailing Address - Fax:770-808-2140
Practice Address - Street 1:8431 BROWNS MILL TRCE
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-7509
Practice Address - Country:US
Practice Address - Phone:770-841-4763
Practice Address - Fax:770-808-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care