Provider Demographics
NPI:1417100413
Name:AREH, MOREEN NGOZI (ELITE HOME HEALTH RN)
Entity Type:Individual
Prefix:
First Name:MOREEN
Middle Name:NGOZI
Last Name:AREH
Suffix:
Gender:F
Credentials:ELITE HOME HEALTH RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 LAKE MIST DR SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5981
Mailing Address - Country:US
Mailing Address - Phone:678-662-7451
Mailing Address - Fax:
Practice Address - Street 1:5003 LAKE MIST DR SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-5981
Practice Address - Country:US
Practice Address - Phone:678-662-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN152067163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse