Organization
GEORGIA SPECIALTY CARE STAFFING AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRYNA DELMARA WICKS RN (CEO)
(706) 756-9510
Entity
Organization
Contact information
Practice address
307 S LEWIS ST STE C, LAGRANGE, GA 30240-3169
(706) 756-9510
Mailing address
307 S LEWIS ST STE C, LAGRANGE, GA 30240-3169
(706) 756-9510
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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