Healthcare Provider Details

I. General information

NPI: 1063792067
Provider Name (Legal Business Name): HORIZON ADULT DAY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 08/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4714 AUGUSTA RD
GARDEN CITY GA
31408-1727
US

IV. Provider business mailing address

702 PLANTATION DR
RINCON GA
31326-9708
US

V. Phone/Fax

Practice location:
  • Phone: 912-658-4804
  • Fax:
Mailing address:
  • Phone: 912-658-4804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LUCY ANGULU OSUNDWA
Title or Position: CENTER DIRECTOR/OWNER
Credential:
Phone: 912-658-4804