Organization
PRN POOL INC
Active
Other names
CareMaster Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E GROGAN (CEO)
(770) 227-1264
Entity
Organization
Contact information
Practice address
240 ODELL RD, GRIFFIN, GA 30224-4787
(770) 227-1264
(770) 228-9986
Mailing address
PO BOX 278, GRIFFIN, GA 30224-0007
(770) 227-1264
(770) 228-9986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
DHR126R0002
GA
251F00000X
Home Infusion Agency
DHR126R0002
GA
251J00000X
Nursing Care Agency
DHR126R0002
GA
Other
Enumeration date
11/03/2006
Last updated
05/05/2008
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