Provider Demographics
NPI:1558195263
Name:ADIEL HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ADIEL HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:I
Authorized Official - Last Name:AHAMIOJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-830-4877
Mailing Address - Street 1:1568 KNOX DR SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7419
Mailing Address - Country:US
Mailing Address - Phone:404-641-8911
Mailing Address - Fax:
Practice Address - Street 1:1568 KNOX DR SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7419
Practice Address - Country:US
Practice Address - Phone:404-641-8911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care