Healthcare Provider Details

I. General information

NPI: 1356943450
Provider Name (Legal Business Name): FARR HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MORNINGSIDE DR
WAYCROSS GA
31501-6090
US

IV. Provider business mailing address

1001 MORNINGSIDE DR
WAYCROSS GA
31501-6090
US

V. Phone/Fax

Practice location:
  • Phone: 912-285-2633
  • Fax: 912-285-2672
Mailing address:
  • Phone: 912-285-2633
  • Fax: 912-285-2672

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: ROXANNE FARR
Title or Position: OWNER
Credential:
Phone: 912-285-2633