MEDICARE: HEALTH AND RESOURCE TRAINING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	015-R-0990	GA

General Provider Information

NPI Number	:	1124573332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND RESOURCE TRAINING SERVICES

Provider Business Mailing Address
First Line	:	2591 US HIGHWAY 17
Second Line	:	SUITE #202
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-3864
Country	:	US
Telephone Number	:	912-459-4278
Fax Number	:	866-409-2253

Provider Business Practice Location Address
First Line	:	2591 US HIGHWAY 17
Second Line	:	SUITE #202
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-3864
Country	:	US
Telephone Number	:	912-459-4278
Fax Number	:	866-409-2253

Authorized Official
Title or Position	:	CEO, OWNER
Name	:	TAMI ANN CALDERONE
Credential	:	RN, BSN
Telephone Number	:	912-572-5862

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	08/17/2016

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