Organization Name: | AMAZING GRACE PERSONAL CARE SERVICES, INC. |
NPI Number: | 1548561400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONDA M. CARSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 2449 Vineville Ave Suite 7 Macon |
State: | GA US |
Postal Code: | 312042955 |
Phone Number: | 4787461133 |
Fax Number: | 4787469933 |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 084-R-0002 |
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 |