Organization · NPI-2
Bisol Home Care Services, INC
Home Health · Jonesboro, GA
NPI number1063794154
StatusActive
Last updated in NPPESDec 1, 2011
Details
- NPI
- 1063794154
- Entity type
- Organization (NPI-2)
- Legal business name
- Bisol Home Care Services, INC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2011
- Last updated
- Dec 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 031-R-0745 | GA | Yes |
| 253Z00000X | In Home Supportive Care | 031-R-0745 | GA |
Practice location
2759 Mount Zion PkwySuite D
Jonesboro, GA 30236-2568
Phone 404-285-7276
Mailing address
1234 Julie CtRiverdale, GA 30296-2254
Phone 404-285-7276
Authorized official
Adebisi O Adewakun
Administrator
4042857276
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