# FRUIT OF THE SPIRIT COMPANION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fruit of the Spirit Companion services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366271116
- **Authorized official:** SHANNON WILLIAMS-COCHRAN (LPN)
- **Authorized official phone:** (478) 718-8793

## Contact information

- **Practice address:** 2004 CARVER DR, FORT VALLEY, GA 31030-4443
- **Practice address phone:** (478) 718-8793
- **Mailing address:** 2004 CARVER DR, FORT VALLEY, GA 31030-4443
- **Mailing address phone:** (478) 718-8793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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