Healthcare Provider Details

I. General information

NPI: 1396649828
Provider Name (Legal Business Name): 322 PERSONAL CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 THREE RIVERS CT
HULL GA
30646-3380
US

IV. Provider business mailing address

205 THREE RIVERS CT
HULL GA
30646-3380
US

V. Phone/Fax

Practice location:
  • Phone: 706-247-9090
  • Fax:
Mailing address:
  • Phone: 706-247-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAMEIKA BRISCOE
Title or Position: CO OWNER/RN
Credential: RN
Phone: 706-247-9090