Bradfordville Santee Providence Community Home Care, LLC
Organization Active NPI Nursing Care Agency · Grayson, GA
NPI 1013548312 · NPPES record last updated Jan 27, 2020
Key facts
- NPI
- 1013548312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- Legal business name
- BRADFORDVILLE SANTEE PROVIDENCE COMMUNITY HOME CARE, LLC
- Practice address
- 307 Sawyer Meadow Way
Grayson, GA 30017-4176 - Phone
- (404) 793-2025
- Fax
- (404) 793-2020
- NPI assigned
- Jan 27, 2020
- Organization subpart
- No
Authorized official
- Name
- Michael Henry Jr.
- Title
- Owner
- Phone
- (404) 793-2025
Practitioners 1
-
Michael Henry Jr., PT, DPT, PHD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Yes |
Addresses
Primary practice location
307 Sawyer Meadow Way
Grayson, GA 30017-4176
Mailing address
307 Sawyer Meadow Way
Grayson, GA 30017-4176
Phone (404) 793-2025
Other names
- BSPC Home Care, LLC
Other providers in Grayson, GA
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- Ancy Bobby
- Erin Nicole Boyce
- Pamela Amelia Boyd
- Phaidra C. Boyd
- Christopher Bradley
- Angela Yvette Brown
- Butterfly Development, LLC
- Cheryl Selena Butts
- Calm Pelvic Health
All providers in Grayson, GA · Nursing Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.