Healthcare Provider Details

I. General information

NPI: 1972376317
Provider Name (Legal Business Name): MSK HOME CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CLINTON LN
ALBANY GA
31701-4701
US

IV. Provider business mailing address

110 CLINTON LN
ALBANY GA
31701-4701
US

V. Phone/Fax

Practice location:
  • Phone: 229-894-1611
  • Fax:
Mailing address:
  • Phone: 229-894-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. APRIL WASHINGTON
Title or Position: MSN, APRN, FNP-C, ADMINISTRATOR
Credential: FNP-C
Phone: 229-894-1611