Valeria Capers

Individual provider Active NPI Adult Care Home Facility · Midland, GA

NPI 1578079745 · NPPES record last updated Dec 23, 2017

Key facts

NPI
1578079745
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
10169 Sable Oaks Dr
Midland, GA 31820-4467
Phone
(706) 577-0990
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

10169 Sable Oaks Dr
Midland, GA 31820-4467

Mailing address

10169 Sable Oaks Dr
Midland, GA 31820-4467
Phone (706) 577-0990

Other providers in Midland, GA

All providers in Midland, GA · Adult Care Home Facility in Georgia

Sources for this page

Verify at the official NPI Registry.