Organization Name: | QUALITY ASSURED ADULT DAYCARE |
NPI Number: | 1114140829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA PALMER SIMMONS (OWNER-MANAGER) |
Mailing Address: | 133 Garrett Way Nw Milledgeville |
State: | GA US |
Postal Code: | 310612318 |
Phone Number: | 4784510921 |
Fax Number: | 4784572410 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |