# ACCOMMODATE MEDICAL STAFFING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Accommodate Medical Staffing, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043976558
- **Authorized official:** SHANDREA WILDER RN (OWNER)
- **Authorized official phone:** (147) 831-8684

## Contact information

- **Practice address:** 830 MULBERRY ST STE 105, MACON, GA 31201-0604
- **Practice address phone:** (404) 984-6212
- **Mailing address:** 830 MULBERRY ST STE 105, MACON, GA 31201-0604
- **Mailing address phone:** (404) 984-6212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 10/23/2024