NPI Profile for EBENEZER ASHITEI in KENNESAW, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency |
| NPI # | 1740817717 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/26/2020 | |
| Last updated | 03/26/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EBENEZER ASHITEI
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