NPI 1184174161 · live from the CMS NPI Registry
1source Fitness & Sports Neuro Rehab
Home Health in Snellville, GA. National Provider Identifier 1184174161, active.
NPI record
| NPI | 1184174161 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 4728 Joseph Eli Dr, Snellville, GA 30039 |
| Practice phone | 678-257-4037 |
| Enumerated | October 13, 2016 |
| Last updated | October 13, 2016 |
| Authorized official | Collin Adu, Clinical Director |
| Other names | 1source Health Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | 12002969 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.