Organization
HOME CONVALESCENT CARE
Active
Other names
Home Convalescent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARJORIE DIANE SMITH RN (OWNER/MANAGER)
(229) 254-4967
Entity
Organization
Contact information
Practice address
140 BUD HARRELL RD, 140 BUD HARRELLE RD,, BAINBRIDGE, GA 39817-7920
(229) 254-4967
(229) 416-4267
Mailing address
140 BUD HARRELL RD, BAINBRIDGE, GA 39817-7920
(229) 254-4967
(229) 416-4267
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
110296
GA
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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