Organization
MYKA PERSONAL CARE HOME INC.
Active
Other names
Myka Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
HANA ABDUL-MAJID (OWNER)
(678) 272-7820
Entity
Organization
Contact information
Practice address
158 FAIRVIEW RD STE B, ELLENWOOD, GA 30294-2795
(678) 272-7820
Mailing address
158 FAIRVIEW RD STE B, ELLENWOOD, GA 30294-2795
(678) 272-7820
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003229756A
—
GA
05
—
003229756B
—
GA
Enumeration date
09/17/2020
Last updated
09/17/2020
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