MEDICARE: ALICE'S PLACE ADULT DAY CARE

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1851974869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALICE'S PLACE ADULT DAY CARE

Provider Business Mailing Address
First Line	:	3780 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-2753
Country	:	US
Telephone Number	:	478-254-7171
Fax Number	:	478-254-9736

Provider Business Practice Location Address
First Line	:	3780 NAPIER AVE
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-2753
Country	:	US
Telephone Number	:	478-254-7171
Fax Number	:	478-254-9736

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICIA F DUNCAN
Credential	:	RN
Telephone Number	:	478-718-7331

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	04/29/2021

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Directions to “ALICE'S PLACE ADULT DAY CARE ” Practice Location

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