Provider Demographics
NPI:1437490950
Name:GEORGIA HEALTHCARE & FAMILY SERVICES INC.
Entity Type:Organization
Organization Name:GEORGIA HEALTHCARE & FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:ONOVOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-864-5707
Mailing Address - Street 1:1157 ALFORD RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-6093
Mailing Address - Country:US
Mailing Address - Phone:770-864-5707
Mailing Address - Fax:
Practice Address - Street 1:1157 ALFORD RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-6093
Practice Address - Country:US
Practice Address - Phone:770-864-5707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA122-R-0833251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health