Retire Care Investment Company
Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Byromville, GA
NPI 1457555138 · NPPES record last updated Mar 6, 2009
Key facts
- NPI
- 1457555138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- License
- 3688 (GA)
- Legal business name
- RETIRE CARE INVESTMENT COMPANY
- Practice address
- 712 Patterson St
Byromville, GA 31007 - Phone
- (229) 268-7510
- Fax
- (229) 268-4716
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Rick Fallaw
- Title
- Owner
- Phone
- (229) 268-7510
National Provider Directory
Locations
712 Patterson St
Byromville, GA 31007
Phone (478) 286-7010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | 3688 | GA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 3688 | GA | Yes |
Addresses
Primary practice location
712 Patterson St
Byromville, GA 31007
Mailing address
712 Patterson St
Byromville, GA 31007
Phone (229) 268-7510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000718517A | Medicaid | GA |
Other providers in Byromville, GA
- 4Angels of Byromville Healthcare Center
- Miss Ida Transportation LLC
- PHNH LLC
- Pinehill Nursing Center, Inc.
- Pinehill SNF Operator LLC
All providers in Byromville, GA · Parenteral & Enteral Nutrition Supplies (DME) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2009. 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.