Individual
MS. OLETHIA HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 PEACOCK AVE, COLUMBUS, GA 31906-6000
(706) 325-8864
Mailing address
PO BOX 4001, COLUMBUS, GA 31914-0001
(706) 325-8864
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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