Provider Demographics
NPI:1750558052
Name:TOWERS PERSONAL HOME CARE
Entity type:Organization
Organization Name:TOWERS PERSONAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BADEJOKO
Authorized Official - Middle Name:O
Authorized Official - Last Name:ABEJIDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-323-8375
Mailing Address - Street 1:2772 NEWTONS CREST CIR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6929
Mailing Address - Country:US
Mailing Address - Phone:678-349-8191
Mailing Address - Fax:
Practice Address - Street 1:2772 NEWTONS CREST CIR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6929
Practice Address - Country:US
Practice Address - Phone:678-349-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA061013111385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care