Organization
CENTRAL GEORGIA HOMECARE SERVICES, INC
Active
Other names
The Company Store
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA S PERRY (EVP-CFO)
(478) 633-1452
Entity
Organization
Contact information
Practice address
800 1ST STREET, STE 100, MACON, GA 31201-8395
(478) 633-5700
(478) 784-3574
Mailing address
800 1ST STREET, STE 100, MACON, GA 31201-8395
(478) 633-5700
(478) 784-3574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20012623968
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHRE 008012
GA
3336H0001X
Home Infusion Therapy Pharmacy
PHRE 008012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000826042B
—
GA
05
—
000826075A
—
GA
05
—
000826075B
—
GA
Enumeration date
07/13/2006
Last updated
05/14/2015
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