# ELLIOM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elliom, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598597940
- **Authorized official:** COLETTE NDIGYENOUBA MPH (DIRECTOR)
- **Authorized official phone:** (319) 671-4013

## Contact information

- **Practice address:** 987 PRESERVE PARK DR, LOGANVILLE, GA 30052-8317
- **Practice address phone:** (319) 671-4013
- **Mailing address:** 987 PRESERVE PARK DR, LOGANVILLE, GA 30052-8317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024