Mazie Douglas is a Home Health Agency based in Lithonia, GA. Mazie Douglas practices in Lithonia, GA. The NPI Number for Mazie Douglas is 1124882428 and holds a License No. (Georgia).
The current practice location address for Mazie Douglas is 1918 Panola Rd, Lithonia, GA and can be reached out via phone at 404-597-2203.
Location: 1918 Panola Rd, Lithonia, GA, 30058-5520
Provider Profile Details
NPI Number
1124882428
Provider Name
Mazie Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1918 Panola Rd, Lithonia, GA, 30058-5520
Phone Number
404-597-2203
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1918 Panola Rd
City
State
Zip
30058-5520
Phone Number
404-597-2203
Fax Number
Provider Business Mailing Address Details
Address
1918 Panola Rd
City
State
Zip
30058-5520
Phone Number
404-597-2203
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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