# HOME CONVALESCENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Convalescent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033456892
- **Authorized official:** MISS MARJORIE DIANE SMITH RN (OWNER/MANAGER)
- **Authorized official phone:** (229) 254-4967

## Contact information

- **Practice address:** 140 BUD HARRELL RD, 140 BUD HARRELLE RD,, BAINBRIDGE, GA 39817-7920
- **Practice address phone:** (229) 254-4967
- **Practice address fax:** (229) 416-4267
- **Mailing address:** 140 BUD HARRELL RD, BAINBRIDGE, GA 39817-7920
- **Mailing address phone:** (229) 254-4967
- **Mailing address fax:** (229) 416-4267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2065X | Child Physical Disabilities Respite Care | 110296 | GA | Yes |

## Other

- **Enumeration date:** 01/13/2013
- **Last updated:** 01/13/2013