Individual
QUANISHA ALIYAH VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
119 DAVIS RD STE 5C, MARTINEZ, GA 30907-0217
(706) 910-3580
(706) 925-5723
Mailing address
PO BOX 9373, AUGUSTA, GA 30916-9373
(706) 910-3580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
03/15/2021
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