Healthcare Provider Details

I. General information

NPI: 1629446042
Provider Name (Legal Business Name): C.B.A. GLOBAL & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 CLEMENT ST
FLINT MI
48504-3181
US

IV. Provider business mailing address

2310 CLEMENT ST
FLINT MI
48504-3181
US

V. Phone/Fax

Practice location:
  • Phone: 404-441-7976
  • Fax:
Mailing address:
  • Phone: 404-441-7976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MOTEEZ AHARSHY WILSON
Title or Position: CEO
Credential:
Phone: 404-441-7976