Provider Demographics
NPI:1942969753
Name:QOALA HOME CARE, LLC
Entity Type:Organization
Organization Name:QOALA HOME CARE, LLC
Other - Org Name:QOALA MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:NELUM
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:APN, FNP-C
Authorized Official - Phone:423-432-8403
Mailing Address - Street 1:2725 HAMILTON MILL RD STE 500 #221
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519
Mailing Address - Country:US
Mailing Address - Phone:423-432-8403
Mailing Address - Fax:
Practice Address - Street 1:2911 HAMILTON MILL RD STE A
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4112
Practice Address - Country:US
Practice Address - Phone:678-926-1829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty