Tedla-Kebede Corp
Organization Active NPI Nursing Facility/Intermediate Care Facility · Marietta, GA
NPI 1881824928 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1881824928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- TEDLA-KEBEDE CORP
- Practice address
- 3424 Old Suttons Way
Marietta, GA 30062-4187 - Phone
- (404) 861-1411
- NPI assigned
- Jul 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Woubshet Tedla
- Title
- President
- Phone
- (404) 861-1411
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
3424 Old Suttons Way
Marietta, GA 30062-4187
Mailing address
3424 Old Suttons Way
Marietta, GA 30062-4187
Phone (404) 861-1411
Other names
- Nirvana Home Health Care Svcs
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.