Healthcare Provider Details

I. General information

NPI: 1083527220
Provider Name (Legal Business Name): DISCOVERY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 BRIARHURST CT
LAWRENCEVILLE GA
30046-9412
US

IV. Provider business mailing address

735 BRIARHURST CT LAWRENCEVILLE
LAWRENCEVILLE GA
30046-9412
US

V. Phone/Fax

Practice location:
  • Phone: 678-313-3424
  • Fax:
Mailing address:
  • Phone: 678-313-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADOUN AYAWA N KOUDADJE
Title or Position: OWNER
Credential:
Phone: 678-313-3424