Provider Demographics
NPI:1255535621
Name:FOLDEL HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:FOLDEL HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOKOSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-254-0946
Mailing Address - Street 1:438 GRAYSON PKWY
Mailing Address - Street 2:PO BOX 85
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-1219
Mailing Address - Country:US
Mailing Address - Phone:678-254-0946
Mailing Address - Fax:678-528-9609
Practice Address - Street 1:2137 BRITT DR
Practice Address - Street 2:SUITE A
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3088
Practice Address - Country:US
Practice Address - Phone:678-254-0946
Practice Address - Fax:678-528-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0313251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health