N/A at Present Time, Will Be Working Contractprivateduty
N/A at Present Time, Will Be Working Contractprivateduty is a Nursing Care Agency in Lagrange, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2015.
- Licensed in
- AL, GA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
401A Boulevard 401ABOULEVARDLagrange, GA 30240-3009
Phone: (706) 333-9369
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Care Agency (primary) | Taxonomy 251J00000X · Licence CN0000047840 (GA) |
|---|---|
| Nurse's Aide | Taxonomy 376K00000X · Licence CN0000047840 (AL) |
Record details
| NPI number | 1679958003 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Potts — Cna · (706) 333-9369 |
| NPI enumerated | July 28, 2015 |
| Last updated in NPPES | July 28, 2015 |
| Mailing address | 401a Boulevard, 401aboulevard, Lagrange, GA 30240-3009 |