Healthcare Provider Details

I. General information

NPI: 1538812581
Provider Name (Legal Business Name): EAM CONSULTATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 SIMMONS LN
HAMPTON GA
30228-5347
US

IV. Provider business mailing address

1907 SIMMONS LN
HAMPTON GA
30228-5347
US

V. Phone/Fax

Practice location:
  • Phone: 404-514-1197
  • Fax:
Mailing address:
  • Phone: 404-514-1197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MERRY JANE WATKINS
Title or Position: CEO/OWNERS
Credential:
Phone: 404-514-1197