Provider Demographics
NPI:1568628675
Name:FIRSTLINE HOMECARE AND MEDICAL SERVICES
Entity Type:Organization
Organization Name:FIRSTLINE HOMECARE AND MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIRIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-435-1099
Mailing Address - Street 1:3411 AUSTELL RD SW
Mailing Address - Street 2:BUILDING 1 SUITE 200
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-5796
Mailing Address - Country:US
Mailing Address - Phone:678-905-3100
Mailing Address - Fax:
Practice Address - Street 1:3411 AUSTELL RD SW
Practice Address - Street 2:BUILDING 1 SUITE 200
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-5796
Practice Address - Country:US
Practice Address - Phone:678-905-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0440251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health