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Organization

ARCHBOLD HEALTH SERVICES, INC.

Active
Parent organization
ARCHBOLD HEALTH SERVICES, INC.
Other names
Archbold Home Health Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARCHBOLD HEALTH SERVICES, INC.
Authorized official
JOHN PERRY MUSTIAN (PRESIDENT/CEO)
(229) 228-2042
Entity
Organization

Contact information

Practice address
400 OLD ALBANY ROAD, THOMASVILLE, GA 31792-4013
(229) 228-2200
(229) 228-2290
Mailing address
P.O. BOX 620, THOMASVILLE, GA 31799-0620
(229) 228-2200
(229) 228-2290

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
136037
GA
251E00000X
Home Health Agency
20143096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000041247A
GA
01
000041247B
CCSP (MEDICAID WAIVERED)
GA
Enumeration date
01/05/2006
Last updated
07/19/2018
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