MEDICARE: OPEN ARMS ADULT DAY & HEALTH SERVICES

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	251E00000X	Home Health Agency
2	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1972804060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS ADULT DAY & HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2810 PEABODY AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 PEABODY AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8730
Country	:	US
Telephone Number	:	706-289-6608
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANGELA DONNER
Credential	:
Telephone Number	:	706-289-6608

Provider Enumeration Date	:	11/05/2010
Last Update Date	:	01/23/2011

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