MEDICARE: HORIZON ADULT DAY HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1063792067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON ADULT DAY HEALTH INC.

Provider Business Mailing Address
First Line	:	702 PLANTATION DR
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-9708
Country	:	US
Telephone Number	:	912-658-4804
Fax Number	:

Provider Business Practice Location Address
First Line	:	4714 AUGUSTA RD
Second Line	:
City	:	GARDEN CITY
State	:	GA
Zip	:	31408-1727
Country	:	US
Telephone Number	:	912-658-4804
Fax Number	:

Authorized Official
Title or Position	:	CENTER DIRECTOR/OWNER
Name	:	MS. LUCY ANGULU OSUNDWA
Credential	:
Telephone Number	:	912-658-4804

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	08/22/2011

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