# PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** professional medical home care agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356712830
- **Authorized official:** MRS. MALVALENE WILLIAMS HURSEFIELD REGISTEREDE NURSE (ASST. ADMINISTRATOR)
- **Authorized official phone:** (404) 464-5360

## Contact information

- **Practice address:** 4336 COVINGTON HWY, SUITE 202, DECATUR, GA 30035-1211
- **Practice address phone:** (404) 289-7178
- **Practice address fax:** (404) 289-7178
- **Mailing address:** 4336 COVINGTON HWY, SUITE 202, DECATUR, GA 30035-1211
- **Mailing address phone:** (404) 289-7178
- **Mailing address fax:** (404) 289-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-1097 | GA | Yes |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 10/09/2015