Healthcare Provider Details

I. General information

NPI: 1942327325
Provider Name (Legal Business Name): PLUSH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 BROGDON ROAD
GUYTON GA
31312-0425
US

IV. Provider business mailing address

PO BOX 425 323 BROGDON ROAD
GUYTON GA
31312-0425
US

V. Phone/Fax

Practice location:
  • Phone: 912-772-8395
  • Fax:
Mailing address:
  • Phone: 912-772-8395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LENORA PATRICE HUNTER
Title or Position: CO OWNER AND CO FOUNDER
Credential:
Phone: 912-772-8395