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Organization

REHOBOTH HEALTHCARE ENTITIES, LLC

Active
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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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