Healthcare Provider Details

I. General information

NPI: 1932733201
Provider Name (Legal Business Name): PERFECT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SULLIVAN DR
AMERICUS GA
31709-5534
US

IV. Provider business mailing address

114 SULLIVAN DR
AMERICUS GA
31709-5534
US

V. Phone/Fax

Practice location:
  • Phone: 229-928-5616
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LYNTON EARL GODWIN III
Title or Position: OWNER
Credential:
Phone: 229-824-7744