NPI 1033456892

Home Convalescent Care

Organisation Child Physical Disabilities Respite Care Bainbridge, GA

Practice location

Address: 140 Bud Harrell Rd 140 Bud Harrelle Rd,, Bainbridge, GA 39817-7920
Phone: (229) 254-4967
Fax: (229) 416-4267
Mailing address: 140 Bud Harrell Rd, Bainbridge, GA 39817-7920

Authorised official

Name: Marjorie Diane Smith
Title: Owner/Manager
Phone: (229) 254-4967

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X Licence 110296 (GA)

Other Respite Care providers in Georgia →

Registry record

NPI: 1033456892
Entity type: Organization
NPI issued: 13 Jan 2013
Record last updated: 13 Jan 2013

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.