Organization
PROFESSIONAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN WHELCHEL VICKERS (CFO)
(770) 536-5700
Entity
Organization
Contact information
Practice address
977 ENOTA AVE NE, GAINESVILLE, GA 30501-1700
(770) 536-5700
(770) 535-7508
Mailing address
977 ENOTA AVE NE, GAINESVILLE, GA 30501-1700
(770) 536-5700
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
069-R-0004
GA
Other
Enumeration date
04/30/2008
Last updated
04/03/2009
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