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Organization

MEMORIAL CAREONE HOME HEALTH SERVICES INC

Active
Other names
CareOne Home Health Services - Waycross Agency
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEANNA M WILDES RN (DIRECTOR OF OPERATIONS)
(912) 350-6559
Entity
Organization

Contact information

Practice address
203 ALBANY AVE, WAYCROSS, GA 31501-3504
(912) 285-2222
(912) 285-5441
Mailing address
PO BOX 931861, ATLANTA, GA 31198-1861
(912) 350-6405
(912) 350-6413

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
148110
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00336861A
GA
Enumeration date
08/04/2006
Last updated
10/31/2007
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