NPI 1003101759

Tift County Board of Health D/B/A Diversified Enterprises

Organisation In Home Supportive Care Agency Tifton, GA

Practice location

Address: 192 Virginia Ave S Suite 100, Tifton, GA 31794-8074
Phone: (229) 386-3122
Fax: (229) 386-7156

Authorised official

Name: Theresa Durden
Title: Web Portal Manager
Phone: (229) 386-3122

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Georgia →

Registry record

NPI: 1003101759
Entity type: Organization
NPI issued: 10 Jun 2011
Record last updated: 10 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.