Organization
A GEM OF COMFORT HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY P LUMPKIN CNA (OWNER)
(706) 712-0118
Entity
Organization
Contact information
Practice address
2073 FREEPORT RD NW, DALTON, GA 30720-6958
(706) 712-0118
(706) 712-0118
Mailing address
2073 FREEPORT RD NW, DALTON, GA 30720-6958
(706) 712-0118
(706) 712-0118
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
0000041282
GA
305R00000X
Preferred Provider Organization
Primary
0000041282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9763354
CIGNA HEALTH CARE
GA
Enumeration date
04/01/2015
Last updated
04/01/2015
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