Organization
ACCOMMODATE MEDICAL STAFFING, LLC
Active
Other names
Accommodate Medical Staffing, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDREA WILDER RN (OWNER)
(147) 831-8684
Entity
Organization
Contact information
Practice address
830 MULBERRY ST STE 105, MACON, GA 31201-0604
(404) 984-6212
Mailing address
830 MULBERRY ST STE 105, MACON, GA 31201-0604
(404) 984-6212
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/10/2021
Last updated
10/23/2024
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