Organization
ALEXIS PRIVATE HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. USHER F JAMES (OWNER)
(478) 936-0293
Entity
Organization
Contact information
Practice address
211 DOLLY ST, GRAY, GA 31032-5336
(478) 936-0293
(478) 986-0273
Mailing address
211 DOLLY ST, P.O. BOX 2007, GRAY, GA 31032-5336
(478) 936-0293
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
084R0201
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217881829A
—
GA
Enumeration date
02/22/2011
Last updated
02/22/2011
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