Organization
MEDIATOR SENIOR CARE, LLC
Active
Other names
Home Instead Senior Care #788
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BARLOW (OWNER)
(706) 922-3601
Entity
Organization
Contact information
Practice address
4143 COLUMBIA RD., SUITE B, MARTINEZ, GA 30907
(706) 922-3601
(706) 922-3608
Mailing address
4143 COLUMBIA RD STE B, MARTINEZ, GA 30907-5405
(706) 922-3601
(706) 922-3608
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
036-R-1348
GA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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