Provider Demographics
NPI:1104187111
Name:NOELA INC
Entity Type:Organization
Organization Name:NOELA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAZEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-401-2194
Mailing Address - Street 1:708 PARC RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4019
Mailing Address - Country:US
Mailing Address - Phone:770-401-2194
Mailing Address - Fax:866-679-8786
Practice Address - Street 1:5532 OLD NATIONAL HWY
Practice Address - Street 2:BLDG G STE 150B
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3212
Practice Address - Country:US
Practice Address - Phone:770-401-2194
Practice Address - Fax:866-679-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060-R-0805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health