MEDICARE: VELOCITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	106-R-0029	GA

General Provider Information

NPI Number	:	1447491113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELOCITY, INC.

Provider Business Mailing Address
First Line	:	3575 MACON RD
Second Line	:	SUITE 23
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8200
Country	:	US
Telephone Number	:	706-562-1211
Fax Number	:	706-562-1266

Provider Business Practice Location Address
First Line	:	3575 MACON RD
Second Line	:	SUITE 23
City	:	COLUMBUS
State	:	GA
Zip	:	31907-8200
Country	:	US
Telephone Number	:	706-562-1211
Fax Number	:	706-562-1266

Authorized Official
Title or Position	:	OWNER / ADMININSTRATOR
Name	:	MR. AL ABBOTT
Credential	:
Telephone Number	:	706-562-1211

Provider Enumeration Date	:	03/10/2009
Last Update Date	:	03/10/2009

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