Organization
COMPASSIONATE CARE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMANIC REAVES (OWNER)
(478) 444-9204
Entity
Organization
Contact information
Practice address
182 RILEY AVE STE B, MACON, GA 31204-0771
(478) 357-2122
Mailing address
182 RILEY AVE STE B, MACON, GA 31204-0771
(478) 357-2122
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
12/26/2020
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