MEDICARE: CATHY BOND

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	261QH0100X	Health Service Clinic/Center
5	174H00000X	Health Educator

General Provider Information

NPI Number	:	1578194080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY BOND

Provider Business Mailing Address
First Line	:	5306 OSHEA LN
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-1417
Country	:	US
Telephone Number	:	770-410-8135
Fax Number	:	770-498-6857

Provider Business Practice Location Address
First Line	:	5306 OSHEA LN
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-1417
Country	:	US
Telephone Number	:	770-410-8135
Fax Number	:	770-498-6857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	02/03/2020

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Directions to “ CATHY BOND ” Practice Location

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