Organization
ENNISONS HOMECARE LLC
Active
Other names
Ennisons Homecare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMA KONADU ENNISON PCA (OWNER)
(678) 200-5925
Entity
Organization
Contact information
Practice address
4315 MULBERRY RIDGE LN, HOSCHTON, GA 30548-1699
(678) 200-5925
Mailing address
4315 MULBERRY RIDGE LN, HOSCHTON, GA 30548-1699
(678) 200-5925
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/28/2025
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