Provider Demographics
NPI:1952767469
Name:SIMPLY WELLNESS CARE LLC
Entity Type:Organization
Organization Name:SIMPLY WELLNESS CARE LLC
Other - Org Name:SIMPLY WELLNESS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT/TREASURER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:SENAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-597-7170
Mailing Address - Street 1:4240 BERKELEY MILL LN
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5649
Mailing Address - Country:US
Mailing Address - Phone:404-479-7895
Mailing Address - Fax:
Practice Address - Street 1:4240 BERKELEY MILL LN
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5649
Practice Address - Country:US
Practice Address - Phone:404-479-7895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health