Healthcare Provider Details

I. General information

NPI: 1023496890
Provider Name (Legal Business Name): ADVOCATES FOR ALZHEIMER'S CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 BELLEVUE AVE
DUBLIN GA
31021-5333
US

IV. Provider business mailing address

611 BELLEVUE AVE P O BOX 344
DUBLIN GA
31021-5333
US

V. Phone/Fax

Practice location:
  • Phone: 478-274-0003
  • Fax: 478-274-9435
Mailing address:
  • Phone: 478-274-0003
  • Fax: 478-274-9435

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: MRS. MELINDA JOY HARRIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 478-697-7134