# RACHEL HOUSE,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265639512
- **Authorized official:** MRS. DORETHA KAY DORMINEY LPN (MANAGER)
- **Authorized official phone:** (229) 549-6100

## Contact information

- **Practice address:** 204 W COLQUITT ST, SPARKS, GA 31647
- **Practice address phone:** (229) 549-6100
- **Practice address fax:** (229) 549-6100
- **Mailing address:** PO BOX 117, SPARKS, GA 31647-0117
- **Mailing address phone:** (229) 549-6100
- **Mailing address fax:** (229) 549-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 037-02-004-1 | GA | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 06/19/2008