Organization
MEDI CAREGIVERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LANE (ADMINISTRATOR)
(770) 633-8550
Entity
Organization
Contact information
Practice address
1172 OLD SALEM RD SE, CONYERS, GA 30094-5944
(770) 633-8550
Mailing address
1172 OLD SALEM RD SE, CONYERS, GA 30094-5944
(770) 633-8550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/08/2009
Last updated
12/22/2016
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