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Organization
MOMBA HOME CARE TENNESSEE, LLC
Active
Organization
MOMBA HOME CARE TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAZAR HUISMAN (OPERATIONS)
(404) 418-7484
Entity
Organization
Contact information
Practice address
3200 W END AVE STE 500, NASHVILLE, TN 37203-1322
(615) 864-0684
Mailing address
400 PERIMETER CENTER TER NE STE 300, ATLANTA, GA 30346-1201
(615) 864-0684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/30/2026
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