| Epiphany Healthcare System, Inc | |
|
1015 Tyrone Rd Ste 110 Tyrone GA 30290-2407 | |
| (770) 306-3416 | |
| (770) 306-3417 |
| Full Name | Epiphany Healthcare System, Inc |
|---|---|
| Speciality | Home Health |
| Location | 1015 Tyrone Rd Ste 110, Tyrone, Georgia |
| Authorized Official Name and Position | Dickson Osanu (ADMINISTRATOR) |
| Authorized Official Contact | 7703063416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Healthcare System, Inc 4405 Mall Blvd Suite 518 Union City GA 30291-2044 Ph: (770) 306-3416 | Epiphany Healthcare System, Inc 1015 Tyrone Rd Ste 110 Tyrone GA 30290-2407 Ph: (770) 306-3416 |
| NPI Number | 1124202973 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 060-R-0322 (Georgia) | Primary |
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