Organization
PERSONAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILISSA MICHELLE MARTIN (CEO)
(706) 491-7976
Entity
Organization
Contact information
Practice address
211 E DOYLE ST, TOCCOA, GA 30577-2960
(706) 491-7976
Mailing address
211 E DOYLE ST, TOCCOA, GA 30577-2960
(706) 491-7976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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