Healthcare Provider Details

I. General information

NPI: 1366460073
Provider Name (Legal Business Name): HEALTHCARE NEEDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 06/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 BLUE RIDGE DR
BLUE RIDGE GA
30513-3605
US

IV. Provider business mailing address

7130 BLUE RIDGE DR
BLUE RIDGE GA
30513-3605
US

V. Phone/Fax

Practice location:
  • Phone: 706-632-0384
  • Fax: 706-946-0385
Mailing address:
  • Phone: 706-632-0384
  • Fax: 706-946-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateGA

VIII. Authorized Official

Name: HARRIETTE P. BRYANT
Title or Position: CEO
Credential:
Phone: 706-632-0384