Organization1source Fitness & Sports Neuro Rehab(1source Health Services)Home HealthAgenciesPractice Address4728 Joseph Eli Dr, Snellville, GA 30039-7138(678) 257-4037PECOS EnrollmentBased on the most recent information from CMS, provider 1source Fitness & Sports Neuro Rehab does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1184174161Provider TypeOrganizationFull Name1source Fitness & Sports Neuro RehabOther Name1source Health ServicesSubpartYesEnumeration Date10/13/2016Last Updated10/13/2016Contact InformationPractice LocationPractice Address4728 Joseph Eli Dr, Snellville, GA 30039-7138Phone(678) 257-4037Fax(678) 257-4037Mailing LocationMailing Address4728 Joseph Eli Dr, Snellville, GA 30039-7138Phone(678) 257-4037Fax(678) 257-4037Authorized OfficialNameAdu, Collin (Clinical Director)Phone(678) 250-4035Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense12002969Georgia