Organization
HAMPTON ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE WESTNORELAND HAMPTON JR. (OWNER)
(229) 344-2499
Entity
Organization
Contact information
Practice address
1122 W WHITNEY AVE, ALBANY, GA 31707-4834
(229) 299-4624
(229) 375-0536
Mailing address
1122 W WHITNEY AVE, ALBANY, GA 31707-4834
(229) 299-4624
(229) 375-0536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590
—
GA
Enumeration date
08/28/2014
Last updated
08/28/2014
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