Organization
MARCHENRICH WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL O FAWOLE MSN, RN (ADMINISTRATOR/OWNER)
(404) 512-1812
Entity
Organization
Contact information
Practice address
844 BRISLEY CIR, HAMPTON, GA 30228-5950
(404) 512-1812
Mailing address
844 BRISLEY CIR, HAMPTON, GA 30228-5950
(404) 512-1812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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