Organization
REHOBOTH HEALTHCARE ENTITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA HOLSTON (ADMINISTRATOR/OWNER)
(478) 396-0506
Entity
Organization
Contact information
Practice address
103 FRANKLIN SQ, BONAIRE, GA 31005-3244
(478) 396-0506
Mailing address
103 FRANKLIN SQ, BONAIRE, GA 31005-3244
(478) 396-0506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/30/2022
Last updated
12/02/2024
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