| Ally Home Care Llc | |
|
422 N Indian Creek Dr Ste D Clarkston GA 30021-2382 | |
| (404) 910-6174 | |
| (404) 745-8884 |
| Full Name | Ally Home Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 422 N Indian Creek Dr Ste D, Clarkston, Georgia |
| Authorized Official Name and Position | Edil Jama (ADMINISTRATOR) |
| Authorized Official Contact | 4049106174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Home Care Llc 422 N Indian Creek Dr Ste D Clarkston GA 30021-2382 Ph: (404) 910-6174 | Ally Home Care Llc 422 N Indian Creek Dr Ste D Clarkston GA 30021-2382 Ph: (404) 910-6174 |
| NPI Number | 1669141404 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669141404 | NPI | - | NPPES |
| 0032041897 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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