Organization
IMANI HEALTH SYSTEMS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJAH CHAPPELL MBA (OWNER/CEO)
(678) 571-2928
Entity
Organization
Contact information
Practice address
158 FAIRVIEW RD STE B3, ELLENWOOD, GA 30294-2795
(678) 571-2928
Mailing address
158 FAIRVIEW RD STE B3, ELLENWOOD, GA 30294-2795
(678) 571-2928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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