Organization
SENIOR CARE OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELLA UPSHAW (CEO)
(706) 464-2009
Entity
Organization
Contact information
Practice address
6400 BRADLEY PARK DR, SUITE A-1, COLUMBUS, GA 31904-3615
(706) 507-0552
Mailing address
6400 BRADLEY PARK DR, COLUMBUS, GA 31904-3615
(706) 507-0552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
106-R-0035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175352881A
—
GA
05
—
175352881B
—
GA
Enumeration date
06/07/2007
Last updated
03/17/2009
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