# MEMORIAL CAREONE HOME HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CareOne Home Health Services-Tifton Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962410886
- **Authorized official:** MS. DEANNA M WILDES RN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (912) 350-6559

## Contact information

- **Practice address:** 1823 OLD OCILLA RD, TIFTON, GA 31794-1617
- **Practice address phone:** (229) 382-0686
- **Practice address fax:** (229) 386-5384
- **Mailing address:** PO BOX 931861, ATLANTA, GA 31198-1861
- **Mailing address phone:** (912) 350-6405
- **Mailing address fax:** (912) 350-6413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 137111 | GA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 04/20/2008