MEDICARE: SOJW ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1497610695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOJW ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	330 BREEZE MDW
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-6054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 BREEZE MDW
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-6054
Country	:	US
Telephone Number	:	678-367-9653
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAMOTRIA J WILLIAMS
Credential	:
Telephone Number	:	678-367-9653

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “SOJW ENTERPRISES LLC ” Practice Location

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