MEDICARE: BENADEL CARE AND CONSULTING

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1508411919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENADEL CARE AND CONSULTING

Provider Business Mailing Address
First Line	:	2341 CHEROKEE VALLEY CIR
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5383
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2341 CHEROKEE VALLEY CIR
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5383
Country	:	US
Telephone Number	:	347-654-7922
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JOY AGBOOLA
Credential	:
Telephone Number	:	347-654-7922

Provider Enumeration Date	:	08/03/2019
Last Update Date	:	02/26/2020

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Directions to “BENADEL CARE AND CONSULTING ” Practice Location

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