Individual
IDIL FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 SCENIC HWY S STE 2004, SNELLVILLE, GA 30078-3115
(470) 772-0168
Mailing address
1624 HOLLY LAKE CIR, SNELLVILLE, GA 30078-6728
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP013378
GA
Other
Enumeration date
10/03/2024
Last updated
11/06/2024
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