Healthcare Provider Details

I. General information

NPI: 1508012550
Provider Name (Legal Business Name): Y.M.I IN HOME CARE SERICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 08/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 FRASER ST SE
ATLANTA GA
30315-1246
US

IV. Provider business mailing address

2849 AMERSON TRL
ELLENWOOD GA
30294
US

V. Phone/Fax

Practice location:
  • Phone: 877-235-2846
  • Fax:
Mailing address:
  • Phone: 877-235-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: PICASSO VARNER
Title or Position: CO FOUNDER
Credential:
Phone: 770-771-1296