Organization Name: | SUPPORT SOLUTIONS OF GEORGIA |
NPI Number: | 1467793455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY DURBIN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 207 Pitcarin Way Augusta |
State: | GA US |
Postal Code: | 309095767 |
Phone Number: | 7063960584 |
Fax Number: | 7063960544 |
NPI Enumeration Date: | 03/15/2013 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 121-R-1009 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |