Provider Demographics
NPI:1447764113
Name:LEMIS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:LEMIS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IYEAKIAFO
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-482-6543
Mailing Address - Street 1:1529 BRIARFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-5955
Mailing Address - Country:US
Mailing Address - Phone:404-482-6543
Mailing Address - Fax:
Practice Address - Street 1:1529 BRIARFIELD WAY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-5955
Practice Address - Country:US
Practice Address - Phone:404-482-6543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1700074447374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty