Organization
AMELIAS DEN PERSONAL CARE HOME INC
Active
Other names
Amelias Den Personal Care Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
REHNQUIST WRIGHT (CFO)
(757) 971-0946
Entity
Organization
Contact information
Practice address
101 DEVANT ST STE 105, FAYETTEVILLE, GA 30214-2711
(470) 301-6037
(678) 519-1524
Mailing address
101 DEVANT ST STE 105, FAYETTEVILLE, GA 30214-2711
(470) 301-6037
(678) 519-1524
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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