Organization
MIMS CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBISI EMMANUEL OLUYEMI PH.D (C.E.O)
(404) 569-1041
Entity
Organization
Contact information
Practice address
1589 MIMS ST SW, ATLANTA, GA 30314-2255
(404) 569-1041
Mailing address
2103 JOCKEY HOLLOW DR NW, KENNESAW, GA 30152-3169
(404) 569-1041
(770) 422-5929
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
060-01-360-9
GA
261QM0850X
Adult Mental Health Clinic/Center
060-01-360-9
GA
310400000X
Assisted Living Facility
Primary
060-01-360-9
GA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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