Provider Demographics
NPI:1093319881
Name:DREEM FACTORY MEDICAL INSTITUTE
Entity type:Organization
Organization Name:DREEM FACTORY MEDICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:LUWEMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-721-5080
Mailing Address - Street 1:2296 HENDERSON MILL RD NE STE 304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2739
Mailing Address - Country:US
Mailing Address - Phone:404-721-5080
Mailing Address - Fax:
Practice Address - Street 1:2296 HENDERSON MILL RD NE STE 304
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2739
Practice Address - Country:US
Practice Address - Phone:404-721-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty