Organization
HOME CARE ASSOCIATES OF SOUTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERLONG HIGHTOWER TAYLOR (OWNER)
(229) 432-5778
Entity
Organization
Contact information
Practice address
175 WINNSTEAD DR, LEESBURG, GA 31763-5326
(229) 432-5778
(229) 432-5778
Mailing address
175 WINNSTEAD DR, LEESBURG, GA 31763-5326
(229) 432-5778
(229) 432-5778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
088-R-0001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851779098A
—
GA
Enumeration date
07/14/2009
Last updated
07/14/2009
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