# GEORGIA SPECIALTY CARE STAFFING AGENCY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770847725
- **Authorized official:** MS. KATRYNA DELMARA WICKS RN (CEO)
- **Authorized official phone:** (706) 756-9510

## Contact information

- **Practice address:** 307 S LEWIS ST STE C, LAGRANGE, GA 30240-3169
- **Practice address phone:** (706) 756-9510
- **Mailing address:** 307 S LEWIS ST STE C, LAGRANGE, GA 30240-3169
- **Mailing address phone:** (706) 756-9510

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 06/25/2012