Organization
SPECTRUM FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMILA SMITH (OWNER)
(229) 412-8866
Entity
Organization
Contact information
Practice address
3403 BEMISS RD, SUITE C, VALDOSTA, GA 31605-7062
(229) 412-8866
Mailing address
61 BROOKFIELD DR, LAKELAND, GA 31635-5318
(229) 232-7093
(229) 253-0054
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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