Healthcare Provider Details

I. General information

NPI: 1851974869
Provider Name (Legal Business Name): ALICE'S PLACE ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 NAPIER AVE
MACON GA
31204-2753
US

IV. Provider business mailing address

3780 NAPIER AVE
MACON GA
31204-2753
US

V. Phone/Fax

Practice location:
  • Phone: 478-254-7171
  • Fax: 478-254-9736
Mailing address:
  • Phone: 478-254-7171
  • Fax: 478-254-9736

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: PATRICIA F DUNCAN
Title or Position: OWNER
Credential: RN
Phone: 478-718-7331