Organization
ASSURE MEDICAL AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONCHETTA PERRY FNP-C (OWNER)
(706) 641-2151
Entity
Organization
Contact information
Practice address
1711 BUENA VISTA RD STE 2, COLUMBUS, GA 31906-6141
(706) 641-2151
(706) 641-2171
Mailing address
1711 BUENA VISTA RD STE 2, COLUMBUS, GA 31906-6141
(706) 641-2151
(706) 641-2171
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003193515A
—
GA
Enumeration date
05/13/2019
Last updated
05/13/2019
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