Healthcare Provider Details

I. General information

NPI: 1962483867
Provider Name (Legal Business Name): WARE VISITING NURSES SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 WESTSIDE DR
DOUGLAS GA
31533-3530
US

IV. Provider business mailing address

302 WESTSIDE DR
DOUGLAS GA
31533-3530
US

V. Phone/Fax

Practice location:
  • Phone: 912-422-3293
  • Fax:
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-443-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number002122
License Number StateGA

VIII. Authorized Official

Name: MR. JOSHUA L PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307