Organization
SERVING EXTRA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKA A MARTIN (OWNER)
(478) 335-5902
Entity
Organization
Contact information
Practice address
2597 LAKE ERMA DR, HAMPTON, GA 30228-6085
(478) 335-5902
Mailing address
2597 LAKE ERMA DR, HAMPTON, GA 30228-6085
(478) 335-5902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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