Provider Demographics
NPI:1427446160
Name:OSA HEALTHCARE INC
Entity type:Organization
Organization Name:OSA HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-389-0605
Mailing Address - Street 1:1215 EAGLES LANDING PKWY STE 209B
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7280
Mailing Address - Country:US
Mailing Address - Phone:770-389-0605
Mailing Address - Fax:866-807-3315
Practice Address - Street 1:1215 EAGLES LANDING PKWY STE 209B
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7280
Practice Address - Country:US
Practice Address - Phone:770-389-0605
Practice Address - Fax:866-807-3315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility