Individual
ARISHA DANCY-MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 16TH AVE, PHENIX CITY, AL 36867-4337
(706) 289-4953
Mailing address
3601 INVERNESS PKWY, COLUMBUS, GA 31909-1925
(770) 656-7603
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
GA
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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