Organization
FIDELIS INFUSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA N FORD (OWNER)
(678) 469-3718
Entity
Organization
Contact information
Practice address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
(678) 469-3718
Mailing address
2015 JONESBORO RD # 190, MCDONOUGH, GA 30253-5971
(678) 469-3464
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
251F00000X
Home Infusion Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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