Healthcare Provider Details
I. General information
NPI: 1841676301
Provider Name (Legal Business Name): AKSHARMURTI LLC DBA/ EMORY ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2015
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
631 EXCHANGE PL NW STE A
LILBURN GA
30047-3715
US
IV. Provider business mailing address
631 EXCHANGE PL NW STE A
LILBURN GA
30047-3715
US
V. Phone/Fax
- Phone: 678-923-9981
- Fax:
- Phone: 678-923-9981
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BINA
K
PATEL
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 678-923-9981