Mohamed Ame Mohamed, CNA Valid NPI
Individual provider · Pediatric Skilled Nursing Facility · Lilburn, GA
- NPI
- 1194411249
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Skilled Nursing Facility (Skilled Nursing Facility)
- Specialty group
- Nursing & Custodial Care Facilities
- Taxonomy code
- 3140N1450X
- License number
- CN0030085514 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-04-12
- Last updated
- 2023-04-12
Practice location
950 Harbins Rd Nw Apt 534
Lilburn, GA 30047-5842
(678) 790-6122