Provider Demographics
NPI:1942712864
Name:EINSTEINS LLC
Entity Type:Organization
Organization Name:EINSTEINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKANLAWON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-644-3465
Mailing Address - Street 1:2236 HEWATT RD
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4021
Mailing Address - Country:US
Mailing Address - Phone:678-644-3465
Mailing Address - Fax:
Practice Address - Street 1:2236 HEWATT RD
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4021
Practice Address - Country:US
Practice Address - Phone:678-644-3465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care