Ivy Baisie

NPI #1982461604 in Senoia, Georgia

Provider Information

NPI Number: 1982461604
Entity Type: Individual
Name: Ivy Baisie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Feb 29, 2024
Last Updated: Feb 29, 2024

Practice Location

Address: 6855 HIGHWAY 16 STE 102
City: Senoia
State: Georgia
ZIP Code: 30276-8604
Phone: (678) 876-2724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary
Adult Companion	372600000X
Technician	374700000X

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