Audria Victoria Ratterree

Individual provider Active NPI Personal Care Attendant · Lula, GA

NPI 1952709412 · NPPES record last updated Dec 16, 2014

Key facts

NPI
1952709412
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
797 Mount Sinai Rd
Lula, GA 30554-3645
Phone
(706) 677-1946
NPI assigned
Dec 16, 2014
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 Companion 372600000X
Personal Care Attendant 3747P1801X Yes
Religious Nonmedical Nursing Personnel 374T00000X
Home Health Aide 374U00000X
Homemaker 376J00000X
Nurse's Aide 376K00000X

Addresses

Primary practice location

797 Mount Sinai Rd
Lula, GA 30554-3645

Mailing address

797 Mount Sinai Rd
Lula, GA 30554-3645
Phone (706) 677-1946

Other providers in Lula, GA

All providers in Lula, GA · Personal Care Attendant in Georgia

Sources for this page

Verify at the official NPI Registry.