Organization
PROACTIVE HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NMN BARLOW (ADMINISTRATOR)
(478) 452-2293
Entity
Organization
Contact information
Practice address
2624 IRWINTON RD, MILLEDGEVILLE, GA 31061-9762
(478) 452-2293
(478) 452-2293
Mailing address
2624 IRWINTON RD, MILLEDGEVILLE, GA 31061-9762
(478) 452-2293
(478) 452-2293
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
005-R-0386
GA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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