Healthcare Provider Details
I. General information
NPI: 1396338927
Provider Name (Legal Business Name): HEALTH SERVICES CONSULTANT PROJECT INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/15/2021
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3383 N LUMPKIN RD
COLUMBUS GA
31903-1634
US
IV. Provider business mailing address
13 ORANGE CT
COLUMBUS GA
31907-2808
US
V. Phone/Fax
- Phone: 706-221-6278
- Fax: 706-221-6378
- Phone: 706-221-6278
- Fax: 706-221-6378
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
BRIDGES
COLEY
Title or Position: AGENCY DIRECTOR
Credential: ADMINISTRATOR
Phone: 706-221-6278