Organization
THREE RIVERS HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL M SMITH JR. (EXECUTIVE DIRECTOR)
(478) 374-3468
Entity
Organization
Contact information
Practice address
115 NW MAIN ST, VIDALIA, GA 30474-3103
(912) 537-9192
Mailing address
PO BOX 640, EASTMAN, GA 31023-0640
(478) 374-3468
(478) 374-6741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
140-234-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186766F
—
GA
05
—
00821026A
—
GA
Enumeration date
07/05/2006
Last updated
07/21/2022
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