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Miranda Omoregie
Personal Care Attendant in Kennesaw, Georgia
NPI 1053995761

Miranda Omoregie is a Personal Care Attendant based in Kennesaw, GA and is specialized in Personal Care Attendant. Miranda Omoregie practices in Kennesaw, GA. The NPI Number for Miranda Omoregie is 1053995761 and holds a License No. CN0000065682 (Georgia).

The current practice location address for Miranda Omoregie is 4177 Havenwood Ct Nw, Kennesaw, GA and can be reached out via phone at 678-290-0070. You can also correspond with Miranda Omoregie through the mailing address at PO BOX 2754, KENNESAW, GA - 30156-9113 (mailing address contact number: 678-290-0070).

Location: 4177 Havenwood Ct Nw, Kennesaw, GA, 30156-9113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053995761
Provider Name
Miranda Omoregie
Credential
Provider Entity Type
Individual
Gender
Male
Address
4177 Havenwood Ct Nw, Kennesaw, GA, 30156-9113
Phone Number
678-290-0070
Fax Number
Provider Enumeration Date
05/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4177 Havenwood Ct Nw
City
Kennesaw
State
Georgia
Zip
30144-7343
Phone Number
678-290-0070
Fax Number
person
Provider Business Mailing Address Details
Address
4177 Havenwood Ct Nw
City
Kennesaw
State
Georgia
Zip
30144-7343
Phone Number
678-290-0070
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
CN0000065682 (Georgia)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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