Organization
CHATTAHOOCHEE VALLEY HOME HEALTH, LLC
Active
Other names
CENTERWELL HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(334) 297-6900
Entity
Organization
Contact information
Practice address
5009 RIVER CHASE DR, BLDG 100, SUITE D, PHENIX CITY, AL 36867-7484
(334) 297-6900
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010-362
G2
—
05
—
141925
—
AL
01
—
515-13363
G2
—
01
—
82-0559182
G2
—
Enumeration date
07/05/2006
Last updated
09/03/2022
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