Organization
FRUIT OF THE SPIRIT COMPANION SERVICES
Active
Other names
Fruit of the Spirit Companion services
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WILLIAMS-COCHRAN (LPN)
(478) 718-8793
Entity
Organization
Contact information
Practice address
2004 CARVER DR, FORT VALLEY, GA 31030-4443
(478) 718-8793
Mailing address
2004 CARVER DR, FORT VALLEY, GA 31030-4443
(478) 718-8793
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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