Individual
UKOHA KALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2436 PEACH SHOALS CIR, DACULA, GA 30019-2113
(678) 327-4724
(404) 953-7919
Mailing address
2436 PEACH SHOALS CIR, DACULA, GA 30019-2113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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