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Organization

PROFESSIONAL MEDICAL INSTITUTE INC DBA PROFESSIONAL MEDICAL HOME CARE

Active
Other names
professional medical home care agency
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MALVALENE WILLIAMS HURSEFIELD REGISTEREDE NURSE (ASST. ADMINISTRATOR)
(404) 464-5360
Entity
Organization

Contact information

Practice address
4336 COVINGTON HWY, SUITE 202, DECATUR, GA 30035-1211
(404) 289-7178
(404) 289-7178
Mailing address
4336 COVINGTON HWY, SUITE 202, DECATUR, GA 30035-1211
(404) 289-7178
(404) 289-7178

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-1097
GA

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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