Organization
ADVENT CARE SYSTEMS HOME CARE OF OCILLA, LLC.
Active
Other names
Advent Care Systems of Ocilla, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN TRETTIEN (EXECUTIVE DIRECTOR)
(912) 532-9308
Entity
Organization
Contact information
Practice address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(229) 468-0646
(229) 468-9300
Mailing address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(912) 532-9308
(229) 299-9697
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010926
GA HFRD HOME CARE LICENSE
GA
Enumeration date
07/17/2020
Last updated
08/05/2021
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