# ALEXIS PRIVATE HOME CARE, INC.

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

## Provider details

- **NPI number:** 1598062960
- **Authorized official:** MRS. USHER F JAMES (OWNER)
- **Authorized official phone:** (478) 936-0293

## Contact information

- **Practice address:** 211 DOLLY ST, GRAY, GA 31032-5336
- **Practice address phone:** (478) 936-0293
- **Practice address fax:** (478) 986-0273
- **Mailing address:** 211 DOLLY ST, P.O. BOX 2007, GRAY, GA 31032-5336
- **Mailing address phone:** (478) 936-0293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 084R0201 | GA | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 217881829A | — | GA |
