| NPI | 1164940235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL IKECHUKWU ELEGEDE Owner 678-559-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: GA 033-R-1270) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |