Brikada Cares LLC
Home Health Aide in Dallas, GA. Organization (NPI-2).
NPI number1619708427
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1619708427
- Entity type
- Organization (NPI-2)
- Legal business name
- Brikada Cares LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 163WH0200X | Registered Nurse, Home Health | – | – |
Other names
- Brikada Cares (Other Name)
Practice location
108 Camellia WayDallas, GA 30132-5522
Phone 404-514-8879
Mailing address
108 Camellia WayDallas, GA 30132-5522
Phone 404-514-8879
Authorized official
Shem Andrew Mobisa
Owner
4045148879
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