NPI 1225372998

Octavia House, LLC

Organisation Respite Care Fayetteville, GA

Practice location

Address: 105 Genevieve CT, Fayetteville, GA 30215-4803
Phone: (404) 429-1752

Authorised official

Name: Nadine a Phillips
Title: Director
Phone: (404) 429-1752

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

Other Respite Care providers in Georgia →

Registry record

NPI: 1225372998
Entity type: Organization
NPI issued: 20 Nov 2012
Record last updated: 20 Nov 2012

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.