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Organization
FRUIT OF THE SPIRIT COMPANION SERVICES
Active
Organization
FRUIT OF THE SPIRIT COMPANION SERVICES
Active
Other names
Fruit of the Spirit Companion services
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WILLIAMS-COCHRAN (LPN)
(478) 718-8793
Entity
Organization
Contact information
Practice address
2004 CARVER DR, FORT VALLEY, GA 31030-4443
(478) 718-8793
Mailing address
2004 CARVER DR, FORT VALLEY, GA 31030-4443
(478) 718-8793
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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