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1source Fitness & Sports Neuro Rehab
Home Health Agency in Snellville, Georgia
NPI 1184174161

1source Fitness & Sports Neuro Rehab is a Home Health Agency based in Snellville, GA. 1source Fitness & Sports Neuro Rehab practices in Snellville, GA. The NPI Number for 1source Fitness & Sports Neuro Rehab is 1184174161 and holds a License No. 12002969 (Georgia).

The current practice location address for 1source Fitness & Sports Neuro Rehab is 4728 Joseph Eli Dr, Snellville, GA and can be reached out via phone at 678-257-4037 and via fax at 678-257-4037.

Location: 4728 Joseph Eli Dr, Snellville, GA, 30039-7138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184174161
Provider Name
1source Fitness & Sports Neuro Rehab
Credential
Provider Entity Type
Organization
Address
4728 Joseph Eli Dr, Snellville, GA, 30039-7138
Phone Number
678-257-4037
Fax Number
678-257-4037
Provider Enumeration Date
10/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4728 Joseph Eli Dr
City
Snellville
State
Georgia
Zip
30039-7138
Phone Number
678-257-4037
Fax Number
678-257-4037
person
Provider Business Mailing Address Details
Address
4728 Joseph Eli Dr
City
Snellville
State
Georgia
Zip
30039-7138
Phone Number
678-257-4037
Fax Number
678-257-4037
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
12002969 (Georgia)
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.
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