Provider Demographics
NPI:1639369283
Name:N'GALLA HOME CARE INC.
Entity type:Organization
Organization Name:N'GALLA HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BINTA
Authorized Official - Middle Name:MAMBOH
Authorized Official - Last Name:NGALLA
Authorized Official - Suffix:
Authorized Official - Credentials:GERONTOLOGIST
Authorized Official - Phone:248-798-7022
Mailing Address - Street 1:1151 HARTLAND DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5446
Mailing Address - Country:US
Mailing Address - Phone:248-798-7022
Mailing Address - Fax:247-743-0662
Practice Address - Street 1:1151 HARTLAND DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-5446
Practice Address - Country:US
Practice Address - Phone:248-798-7022
Practice Address - Fax:247-743-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF630236882385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care