Individual
CARMELETHA LOFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N SLAPPEY BLVD, ALBANY, GA 31701-1410
(229) 573-7403
(229) 573-7404
Mailing address
506 N SLAPPEY BLVD, ALBANY, GA 31701-1410
(229) 573-7403
(229) 573-7404
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
GA
253Z00000X
In Home Supportive Care Agency
—
GA
372500000X
Chore Provider
—
GA
372600000X
Adult Companion
047R0821
GA
3747A0650X
Attendant Care Provider
—
GA
3747P1801X
Personal Care Attendant
—
GA
374U00000X
Home Health Aide
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578856076
—
GA
Enumeration date
10/02/2024
Last updated
10/02/2024
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