Organization
MM ADULT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA FAYE MADISON (PRESIDENT)
(229) 467-9362
Entity
Organization
Contact information
Practice address
23 HIDDEN LAKES RD, ABBEVILLE, GA 31001-2837
(229) 467-9362
(229) 467-2185
Mailing address
23 HIDDEN LAKES RD, ABBEVILLE, GA 31001-2837
(229) 467-9362
(229) 467-2185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
156-R-0001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635993234A
—
GA
05
—
635993234B
—
GA
05
—
635993234C
—
GA
Enumeration date
04/20/2007
Last updated
02/02/2009
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