Idil Farah
Home Health Aide in Snellville, GA. Individual provider (NPI-1).
NPI number1346068764
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1346068764
- Entity type
- Individual (NPI-1)
- Name
- Idil Farah
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2024
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | PHCP013378 | GA | Yes |
Practice location
2330 Scenic Hwy S Ste 2004Snellville, GA 30078-3115
Phone 470-772-0168
Mailing address
1624 Holly Lake CirSnellville, GA 30078-6728
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