Organization
TEDLA-KEBEDE CORP
Active
Other names
Nirvana Home Health Care Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOUBSHET TEDLA (PRESIDENT)
(404) 861-1411
Entity
Organization
Contact information
Practice address
3424 OLD SUTTONS WAY, MARIETTA, GA 30062-4187
(404) 861-1411
Mailing address
3424 OLD SUTTONS WAY, MARIETTA, GA 30062-4187
(404) 861-1411
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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