MEDICARE: RALLYING POINT SERVICES LLC

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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1740596766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALLYING POINT SERVICES LLC

Provider Business Mailing Address
First Line	:	8064 SOUTH FULTON PARKWAY
Second Line	:	APT 1022
City	:	FAIRBURN
State	:	GA
Zip	:	30213-3077
Country	:	US
Telephone Number	:	404-447-5439
Fax Number	:

Provider Business Practice Location Address
First Line	:	8064 S FULTON PKWY
Second Line	:	APT 1022
City	:	FAIRBURN
State	:	GA
Zip	:	30213-3072
Country	:	US
Telephone Number	:	404-447-5439
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. MARLON W COLLINS
Credential	:
Telephone Number	:	404-447-5439

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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