Provider Demographics
NPI:1467749267
Name:LORDDYS HEALTHCARE SOLUTIONS
Entity Type:Organization
Organization Name:LORDDYS HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUMOSU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-412-4000
Mailing Address - Street 1:3800 HIGHLANDS PKWY SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5185
Mailing Address - Country:US
Mailing Address - Phone:678-412-4000
Mailing Address - Fax:678-412-4030
Practice Address - Street 1:3800 HIGHLANDS PKWY SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-5185
Practice Address - Country:US
Practice Address - Phone:678-412-4000
Practice Address - Fax:678-412-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075-R-0887251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care