Organization
VIDMA CARE MISSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E UGHULU (CEO)
(140) 455-1054
Entity
Organization
Contact information
Practice address
3045 WHITTIER WAY, CUMMING, GA 30040-0722
(404) 551-0549
Mailing address
3045 WHITTIER WAY, CUMMING, GA 30040-0722
(404) 551-0549
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
02/21/2023
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