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Organization
WALLYMANG HOMECARE AND STAFFING AGENCY LLC
Active
Organization
WALLYMANG HOMECARE AND STAFFING AGENCY LLC
Active
Other names
Wallymang Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
FATOUMATTA MINTEH CNA (OWNER)
(678) 758-0116
Entity
Organization
Contact information
Practice address
3070 CAMELLIA TRL, AUSTELL, GA 30106-2678
(678) 758-0116
Mailing address
3070 CAMELLIA TRL, AUSTELL, GA 30106-2678
(678) 758-0116
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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