Provider Demographics
NPI:1609019389
Name:VEVES HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:VEVES HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FOLUSO FOLUKE
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-693-1994
Mailing Address - Street 1:4819 CABRINI CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5626
Mailing Address - Country:US
Mailing Address - Phone:770-693-1994
Mailing Address - Fax:678-919-1086
Practice Address - Street 1:4819 CABRINI CT
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-5626
Practice Address - Country:US
Practice Address - Phone:770-693-1994
Practice Address - Fax:678-919-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-11
Last Update Date:2009-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0558253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care