Organization
5-KENS LLC
Active
Other names
FLEXIBLE NURSES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEM MOBISA (RN)
(404) 514-8879
Entity
Organization
Contact information
Practice address
7096 LITTLEBROOK WAY, DOUGLASVILLE, GA 30134-7059
(404) 514-8879
Mailing address
7096 LITTLEBROOK WAY, DOUGLASVILLE, GA 30134-7059
(404) 514-8879
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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