Provider Demographics
NPI:1760720783
Name:HORIZON HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HORIZON HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:EYIWUNMI
Authorized Official - Last Name:SILVA OPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-723-2297
Mailing Address - Street 1:1440 ELM CREEK LN
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2706
Mailing Address - Country:US
Mailing Address - Phone:214-723-2297
Mailing Address - Fax:678-620-3756
Practice Address - Street 1:1440 ELM CREEK LN
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2706
Practice Address - Country:US
Practice Address - Phone:214-723-2297
Practice Address - Fax:678-620-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0942251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health