Organization
INFINITY HEALTH CARE AGENCY LLC
Active
Other names
INFINITY HEALTH CARE AGENCY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETRINA M MURTI (ADMINISTRATOR)
(912) 264-1207
Entity
Organization
Contact information
Practice address
248 ROSE DR STE 104, BRUNSWICK, GA 31520-2944
(912) 264-1207
(912) 264-1254
Mailing address
248 ROSE DR STE 104, BRUNSWICK, GA 31520-2944
(912) 264-1207
(912) 264-1254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010442
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
01/07/2019
Last updated
02/05/2020
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