Organization
PRN POOL INC
Active
Other names
CareMaster Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E GROGAN (CEO)
(770) 227-1264
Entity
Organization
Contact information
Practice address
240 ODELL RD, GRIFFIN, GA 30224-4787
(770) 227-1264
(770) 228-9986
Mailing address
PO BOX 278, GRIFFIN, GA 30224-0007
(770) 227-1264
(770) 228-9986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
DHR126R0002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000536962B
—
GA
Enumeration date
01/16/2007
Last updated
05/01/2008
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