Organization
OPTIMUM HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLY EMANUEL MDAMU (OWNER)
(678) 863-2738
Entity
Organization
Contact information
Practice address
4800 WHITE OAK TRL, STONE MOUNTAIN, GA 30088-3007
(678) 863-2738
(470) 282-0031
Mailing address
4800 WHITE OAK TRL, STONE MOUNTAIN, GA 30088-3007
(678) 863-2738
(470) 282-0031
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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