Samo Holdings, INC

NPI #1598055691 in Ellenwood, Georgia

Provider Information

NPI Number: 1598055691
Entity Type: Organization
Organization Name: Samo Holdings, INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 5530 SWANSON RD
City: Ellenwood
State: Georgia
ZIP Code: 30294-3857
Phone: (404) 729-2514

Authorized Official

Name: MOSES DEMBA
Title: CEO
Phone: (404) 729-2514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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