Healthcare Provider Details

I. General information

NPI: 1225766322
Provider Name (Legal Business Name): RICHLAND ADULT DAY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 ALSTON ST
RICHLAND GA
31825-6011
US

IV. Provider business mailing address

5633 LEXINGTON DR
COLUMBUS GA
31907-6738
US

V. Phone/Fax

Practice location:
  • Phone: 229-384-2009
  • Fax:
Mailing address:
  • Phone: 706-566-4607
  • Fax:

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: MELANIE PHILLIPS
Title or Position: ADMINISTRATOR
Credential:
Phone: 706-566-9587