Amelias Den Personal Care Home Inc
Organization Active NPI Non-emergency Medical Transport (VAN) · Fayetteville, GA
NPI 1982184974 · NPPES record last updated Aug 19, 2018
Key facts
- NPI
- 1982184974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- AMELIAS DEN PERSONAL CARE HOME INC
- Practice address
- 101 Devant St Ste 105
Fayetteville, GA 30214-2711 - Phone
- (470) 301-6037
- Fax
- (678) 519-1524
- NPI assigned
- Aug 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Rehnquist Wright
- Title
- Cfo
- Phone
- (757) 971-0946
National Provider Directory
Locations
101 Devant St
Ste 105
Fayetteville, GA 30214
Phone (470) 301-6037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GA | ||
| Non-emergency Medical Transport (VAN) | 343900000X | GA | Yes |
Addresses
Primary practice location
101 Devant St Ste 105
Fayetteville, GA 30214-2711
Mailing address
101 Devant St Ste 105
Fayetteville, GA 30214-2711
Phone (470) 301-6037
Other names
- Amelias Den Personal Care Home Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2018. 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.