Four County Health Care, LLC
Organization Active NPI Adult Day Care Clinic/Center · Richland, GA
NPI 1114056934 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114056934
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 1-128-1712 (GA)
- Legal business name
- FOUR COUNTY HEALTH CARE, LLC
- Practice address
- 99 Overby Dr
Richland, GA 31825-1322 - Phone
- (229) 887-2021
- Fax
- (229) 887-3978
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Kim Sheffield
- Title
- VP of Financial Reporting
- Phone
- (478) 621-2100
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Four County Health Care
Locations
124 Overby Dr
Richland, GA 31825
Phone (229) 887-2021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 1-128-1712 | GA | Yes |
Addresses
Primary practice location
99 Overby Dr
Richland, GA 31825-1322
Mailing address
PO Box 339
Richland, GA 31825-0339
Phone (229) 887-2021
Other names
- Four County health Care
Other providers in Richland, GA
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Jacob Michael Colquitt
- Valeisha Faggins
- Four County Health Care LLC
- Four County Health Care, LLC
- Jeanelle Greene
- Guided Heart Home Care LLC
- Joanne B Hembree
- Chenequa Jatia Hubbard
All providers in Richland, GA · Adult Day Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.