Healthcare Provider Details
I. General information
NPI: 1952303265
Provider Name (Legal Business Name): US HEALTH FOR HOMECARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2005
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1436 HIGHWAY 16 W
GRIFFIN GA
30223-2055
US
IV. Provider business mailing address
PO BOX 760
GRIFFIN GA
30224-0020
US
V. Phone/Fax
- Phone: 770-229-5294
- Fax: 770-412-0827
- Phone: 770-229-5294
- Fax: 770-412-0827
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
WILLIAM
HIGHSMITH
Title or Position: CEO
Credential: RRT
Phone: 770-229-5294