Healthcare Provider Details

I. General information

NPI: 1053983494
Provider Name (Legal Business Name): PROCUREMENT CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N WALL ST
CALHOUN GA
30701-2242
US

IV. Provider business mailing address

110 N WALL ST
CALHOUN GA
30701-2242
US

V. Phone/Fax

Practice location:
  • Phone: 706-810-3440
  • Fax:
Mailing address:
  • Phone: 706-810-3440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROOSEVELT TURNBULL
Title or Position: OWNER
Credential:
Phone: 706-810-3440