Provider Demographics
NPI:1811274384
Name:DIRECT HEALTHCARE SERVICES
Entity type:Organization
Organization Name:DIRECT HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:UCHE
Authorized Official - Last Name:ANYAORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-271-7440
Mailing Address - Street 1:530 HIGHLAND STATION DR
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6571
Mailing Address - Country:US
Mailing Address - Phone:770-271-7440
Mailing Address - Fax:770-271-7760
Practice Address - Street 1:530 HIGHLAND STATION DR
Practice Address - Street 2:SUITE 1005
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6571
Practice Address - Country:US
Practice Address - Phone:770-271-7440
Practice Address - Fax:770-271-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-0741253Z00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care