Provider Demographics
NPI:1063792067
Name:HORIZON ADULT DAY HEALTH INC.
Entity type:Organization
Organization Name:HORIZON ADULT DAY HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:ANGULU
Authorized Official - Last Name:OSUNDWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-658-4804
Mailing Address - Street 1:702 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-9708
Mailing Address - Country:US
Mailing Address - Phone:912-658-4804
Mailing Address - Fax:
Practice Address - Street 1:4714 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:GA
Practice Address - Zip Code:31408-1727
Practice Address - Country:US
Practice Address - Phone:912-658-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care