Organization
CENTRAL GEORGIA HOME CARE SERVICES, INC.
Active
Other names
THE COMPANY STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D LAVELLE (CEO)
(478) 633-1452
Entity
Organization
Contact information
Practice address
740 HEMLOCK STREET, SUITE B, MACON, GA 31201-7535
(478) 633-6250
(478) 633-1409
Mailing address
740 HEMLOCK STREET, SUITE B, MACON, GA 31201-7535
(478) 633-6250
(478) 633-1409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826075B
—
GA
Enumeration date
07/13/2006
Last updated
08/22/2020
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