Organization
UNIVERSITY HEALTH SERVICES, INC.
Active
Other names
University Home Health Martinez
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MOORE (EXEC VP/COO)
(706) 722-9011
Entity
Organization
Contact information
Practice address
4106 COLUMBIA RD, SUITE 102, MARTINEZ, GA 30907-1450
(706) 868-3220
(706) 868-3221
Mailing address
4106 COLUMBIA RD, SUITE 102, MARTINEZ, GA 30907-1450
(706) 868-3220
(706) 868-3221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
121-216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00769557A
—
GA
01
—
6659
JCAHO
—
Enumeration date
05/04/2006
Last updated
08/22/2020
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