| Damate Healthcare Services, Inc | |
|
716 Hezekiah Way Ellenwood GA 30294-4523 | |
| (678) 637-1883 | |
| Not Available |
| Full Name | Damate Healthcare Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 716 Hezekiah Way, Ellenwood, Georgia |
| Authorized Official Name and Position | Victoria Ojo (ADMINISTRATOR) |
| Authorized Official Contact | 6786371883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damate Healthcare Services, Inc 716 Hezekiah Way Ellenwood GA 30294-4523 Ph: (678) 637-1883 | Damate Healthcare Services, Inc 716 Hezekiah Way Ellenwood GA 30294-4523 Ph: (678) 637-1883 |
| NPI Number | 1962070045 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962070045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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