Organization
COLQUITT REGIONAL HEALTH INCORPORATED
Active
Other names
Colquitt Regional Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LOWRY (PRESIDENT CEO)
(229) 985-3420
Entity
Organization
Contact information
Practice address
2516 5TH AVE SE, MOULTRIE, GA 31788-6207
(229) 891-2128
(229) 890-3483
Mailing address
2516 5TH AVE SE, PO BOX 3548, MOULTRIE, GA 31788-6207
(229) 891-2128
(229) 890-3483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
035-160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000174435A
—
GA
05
—
000174435B
—
GA
05
—
000174435D
—
GA
05
—
000174435F
—
GA
Enumeration date
07/29/2006
Last updated
06/04/2008
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