Individual
TISHA OWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TRINITY DR, COVINGTON, GA 30016
(678) 451-4226
(678) 342-0583
Mailing address
110 TRINITY DR, COVINGTON, GA 30016-8505
(678) 451-4226
(678) 342-0583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
GA
374U00000X
Home Health Aide
—
GA
376K00000X
Nurse's Aide
—
GA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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