Organization
MIDDLE GEORGIA HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE YOUNG-PETERSON (PRESIDENT)
(229) 395-6949
Entity
Organization
Contact information
Practice address
610 HARDEMAN AVE, FORT VALLEY, GA 31030-3438
(229) 395-6949
Mailing address
610 HARDEMAN AVE, FORT VALLEY, GA 31030-3438
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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