Organization Name: | SCENIC ROUTE ENTERPRISES INC |
NPI Number: | 1043681521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID STEWART (PRESIDENT/OWNER) |
Mailing Address: | 2371 Henry Clower Blvd Ste C Snellville |
State: | GA US |
Postal Code: | 300787423 |
Phone Number: | 7709826628 |
Fax Number: | 7707361065 |
NPI Enumeration Date: | 10/09/2015 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 067-R-0375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |