Amelias Den Personal Care Home INC
Non-emergency Medical Transport (VAN) in Fayetteville, GA. Organization (NPI-2).
NPI number1982184974
StatusActive
Last updated in NPPESAug 19, 2018
Details
- NPI
- 1982184974
- Entity type
- Organization (NPI-2)
- Legal business name
- Amelias Den Personal Care Home INC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2018
- Last updated
- Aug 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | GA | Yes |
| 251E00000X | Home Health | – | GA |
Other names
- Amelias Den Personal Care Home INC (Other Name)
Practice location
101 Devant St Ste 105Fayetteville, GA 30214-2711
Phone 470-301-6037 · Fax 678-519-1524
Mailing address
101 Devant St Ste 105Fayetteville, GA 30214-2711
Phone 470-301-6037 · Fax 678-519-1524
Authorized official
Rehnquist Wright
Cfo
7579710946
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