Organization
PROLIFIC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANGANIKA PAUL MCDONALD CNA/CMA/CPT (CEO)
(478) 867-9143
Entity
Organization
Contact information
Practice address
133 HIDDEN CREEK CIR, WARNER ROBINS, GA 31088-5267
(478) 867-9143
Mailing address
133 HIDDEN CREEK CIR, WARNER ROBINS, GA 31088-5267
(478) 867-9143
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/24/2024
Last updated
01/25/2024
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