Unknown Organization

NPI #1235955741 in Auburn, Georgia

Provider Information

NPI Number: 1235955741
Entity Type: Organization
Organization Name: Unknown Organization
Primary Specialty: Home Health
Enumeration Date: Nov 29, 2024
Last Updated: Nov 29, 2024

Practice Location

Address: 5889 WHEELER RIDGE RD
City: Auburn
State: Georgia
ZIP Code: 30011-3488
Phone: (678) 294-2403

Authorized Official

Name: HELEN PETGRAVE
Title: CEO
Phone: (678) 294-2403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X
Home Health	251E00000X	Primary

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