Organization
KULA HOME & HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMA ROLLE (CHIEF OPERATIONS OFFICER)
(832) 740-3826
Entity
Organization
Contact information
Practice address
1909 ENFIELD CT, CONYERS, GA 30013-7417
(832) 740-3826
Mailing address
1909 ENFIELD CT, CONYERS, GA 30013-7417
(832) 740-3826
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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