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NPI Code Detail

MEDICARE: POWER WHEELCHAIR SERVICES

MEDICARE: POWER WHEELCHAIR SERVICES
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
1251E00000XHome Health Agency031-R-1294GA

General Provider Information

NPI Number : 1700256237
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWER WHEELCHAIR SERVICES
Provider Business Mailing Address
First Line : 320 LANIER AVE W STE 200
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7443
Country : US
Telephone Number : 404-484-2024
Fax Number : 888-388-8825
Provider Business Practice Location Address
First Line : 320 LANIER AVE W STE 200
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7443
Country : US
Telephone Number : 404-484-2024
Fax Number : 883-888-8825
Authorized Official
Title or Position : DIRECTOR
Name : OMOYE TRACY OROBOR
Credential : BPA, MHA/GER
Telephone Number : 404-484-2024
Provider Enumeration Date : 09/27/2015
Last Update Date : 03/31/2020

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Directions to “POWER WHEELCHAIR SERVICES ” Practice Location

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