Whalio Doctors

NPI 1063712487

Glory Personal Care Home, LLC

Organisation Adult Companion Covington, GA

Practice location

Address
90 Paces Lndg, Covington, GA 30016-4167
Phone
(678) 432-8818

Authorised official

Name
Syvis a Rodgers
Title
Director
Phone
(678) 342-8818

Registered specialties (2)

Adult Companion Primary
Nursing Service Related Providers Taxonomy 372600000X Licence RN 188675 (GA)
Respite Care
Respite Care Facility Taxonomy 385H00000X Licence RN 188675 (GA)

Registry record

NPI
1063712487
Entity type
Organization
NPI issued
1 Nov 2010
Record last updated
1 Nov 2010

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.