Organization
ENVISION HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELILAH VARNUM (OWNER)
(404) 493-3566
Entity
Organization
Contact information
Practice address
212 SIDNEY DAVID ST, WARNER ROBINS, GA 31088-2987
(404) 493-3566
Mailing address
212 SIDNEY DAVID ST, WARNER ROBINS, GA 31088-2987
(404) 493-3566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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