Jay E Deville, OWNER
Jay E Deville, OWNER is a Home Health Agency in Rome, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
11 John Davenport Dr NWRome, GA 30165-2509
Phone: (706) 290-7701
Fax: (706) 290-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 057-R00-17 (GA) |
|---|---|
| Home Health Agency | Taxonomy 251E00000X · Licence 057-R-0017 (GA) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X · Licence 057R0017 (GA) |
| Home Health Aide | Taxonomy 374U00000X · Licence 057-R-0017 (GA) |
Record details
| NPI number | 1407508948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | May 31, 2023 |
| Certification date | May 31, 2023 |
| Mailing address | 11 John Davenport Dr Nw, Rome, GA 30165-2509 |
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