Organization
MATTIE KATE HOME HEALTH LLC
Active
Other names
Mattie Kate Home Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA HOSKINS-MICKLES CMA (OWNER)
(706) 615-2833
Entity
Organization
Contact information
Practice address
4826 ACME DR, COLUMBUS, GA 31907-3574
(706) 615-2833
Mailing address
4826 ACME DR, COLUMBUS, GA 31907-3574
(706) 615-2833
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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