Healthcare Provider Details

I. General information

NPI: 1750909339
Provider Name (Legal Business Name): SAEREM HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11815 NORTHFALL LN
ALPHARETTA GA
30009-7973
US

IV. Provider business mailing address

11815 NORTHFALL LN
ALPHARETTA GA
30009-7973
US

V. Phone/Fax

Practice location:
  • Phone: 425-659-5073
  • Fax:
Mailing address:
  • Phone: 425-659-5073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLAWUNMI OGUN-SEMORE
Title or Position: OWNER
Credential: DNP
Phone: 425-659-5073