NPI 1154960672 · live from the CMS NPI Registry
Lucky Addeh
Home Health in Powder Springs, GA. National Provider Identifier 1154960672, active.
NPI record
| NPI | 1154960672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1440 Paddocks Ct, Powder Springs, GA 30127 |
| Practice phone | 404-932-3511 |
| Enumerated | December 31, 2019 |
| Last updated | December 31, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | PHCP010445 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.