Organization
HANDS ON COMPANION AGENCY
Active
Other names
Tenika Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENIKA NECOLE DAVENPORT (CEO)
(229) 200-3851
Entity
Organization
Contact information
Practice address
4972 MCNAIR RD, CAMILLA, GA 31730-3942
(229) 200-3851
Mailing address
4972 MCNAIR RD, P O BOX 1102, CAMILLA, GA 31730-3942
(229) 200-3851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
101R1381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260476814
—
GA
Enumeration date
03/31/2015
Last updated
03/31/2015
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