Healthcare Provider Details

I. General information

NPI: 1407194814
Provider Name (Legal Business Name): COMMITTED HANDS OF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 W 35TH ST
SAVANNAH GA
31415-7871
US

IV. Provider business mailing address

PO BOX 1085
SAVANNAH GA
31402-1085
US

V. Phone/Fax

Practice location:
  • Phone: 912-996-4905
  • Fax:
Mailing address:
  • Phone: 912-996-4905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN S PRESCOTT
Title or Position: OWNER
Credential:
Phone: 912-996-4905