| NPI | 1144903410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLY EMANUEL MDAMU Owner 678-863-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |