Provider Demographics
NPI:1164826178
Name:TRULIANT HEALTH SYSTEMS LLC AND PLAZA CONSULTANTS LLC A PARTNERSHIP
Entity type:Organization
Organization Name:TRULIANT HEALTH SYSTEMS LLC AND PLAZA CONSULTANTS LLC A PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOREDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINBAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-722-1622
Mailing Address - Street 1:1400 VETERANS MEMORIAL HWY SE
Mailing Address - Street 2:SUITE 134-323
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2945
Mailing Address - Country:US
Mailing Address - Phone:770-722-1622
Mailing Address - Fax:
Practice Address - Street 1:526 FOREST PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-6140
Practice Address - Country:US
Practice Address - Phone:770-722-1622
Practice Address - Fax:866-823-4725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health