Healthcare Provider Details

I. General information

NPI: 1578936233
Provider Name (Legal Business Name): FRANCES AMEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 JENNY RD
GRANTVILLE GA
30220-2134
US

IV. Provider business mailing address

104 JENNY RD
GRANTVILLE GA
30220-2134
US

V. Phone/Fax

Practice location:
  • Phone: 678-471-1434
  • Fax:
Mailing address:
  • Phone: 678-471-1434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: