Organization
MOYE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYEBOLA OYEWUMI LPN (NURSE)
(404) 934-5384
Entity
Organization
Contact information
Practice address
479 SHADY GLN, DALLAS, GA 30132-0516
(404) 934-5384
Mailing address
479 SHADY GLN, DALLAS, GA 30132-0516
(404) 934-5384
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
GA
Enumeration date
09/03/2020
Last updated
03/30/2023
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