Individual
MS. FELICIA A BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH CARE
Contact information
Practice address
2565 ELKHORN DRIVE, DECATUR, GA 30034-3003
(229) 234-0062
Mailing address
2565 ELKHORN DR, DECATUR, GA 30034-2721
(470) 214-1720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
GA
343900000X
Non-emergency Medical Transport (VAN)
—
GA
3747P1801X
Personal Care Attendant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15558952176
—
GA
01
—
1558952176
HOME HEALTH CARE
GA
05
—
1558952176
—
GA
Enumeration date
01/27/2021
Last updated
02/25/2021
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