Organization
PUBLIC HEALTH HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE RETTERBUSH RN (CEO)
(229) 253-1067
Entity
Organization
Contact information
Practice address
1811 GREEN CIR, VALDOSTA, GA 31602-2734
(229) 253-1242
(229) 253-1151
Mailing address
PO BOX 3284, VALDOSTA, GA 31604-3284
(229) 253-1242
(229) 253-1151
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
092-207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00056845A
—
GA
05
—
00056845B
—
GA
05
—
00056845I
—
GA
Enumeration date
07/29/2006
Last updated
08/10/2023
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