Organization
HISGRIP LLC
Active
Other names
HisGrip Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
OMONIKE AREMU (MANAGING PARTNER)
(770) 753-6021
Entity
Organization
Contact information
Practice address
2475 NORTHWINDS PKWY, STE 200, ALPHARETTA, GA 30009-4807
(770) 753-6021
(770) 476-2107
Mailing address
2475 NORTHWINDS PKWY, STE 200, ALPHARETTA, GA 30009-4807
(770) 753-6021
(770) 476-2107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
060-R-0366
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
663606744A
—
GA
Enumeration date
12/13/2013
Last updated
12/13/2013
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