Healthcare Provider Details
I. General information
NPI: 1265099816
Provider Name (Legal Business Name): FRANCIS HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2019
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2039 RESERVE PKWY
MCDONOUGH GA
30253-7435
US
IV. Provider business mailing address
2039 RESERVE PKWY
MCDONOUGH GA
30253-7435
US
V. Phone/Fax
- Phone: 404-751-7419
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ERICKA
FRANCIS
Title or Position: OWNER
Credential: RN
Phone: 404-751-7419