Organization
WALLYMANG HOMECARE AND STAFFING AGENCY LLC
Active
Other names
Wallymang Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
FATOUMATTA MINTEH CNA (OWNER)
(678) 758-0116
Entity
Organization
Contact information
Practice address
3070 CAMELLIA TRL, AUSTELL, GA 30106-2678
(678) 758-0116
Mailing address
3070 CAMELLIA TRL, AUSTELL, GA 30106-2678
(678) 758-0116
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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