Provider Demographics
NPI:1497037998
Name:PHYZER HOMEHEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PHYZER HOMEHEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LLONZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-964-0387
Mailing Address - Street 1:4791 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1998
Mailing Address - Country:US
Mailing Address - Phone:770-964-0387
Mailing Address - Fax:
Practice Address - Street 1:4791 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-1998
Practice Address - Country:US
Practice Address - Phone:770-964-0387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health