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Immanuel House Personal Care Home, Llc
Licensed Practical Nurse in Mount Vernon, Georgia
NPI 1205514445

Immanuel House Personal Care Home, Llc is a Licensed Practical Nurse based in Chillicothe, GA. Immanuel House Personal Care Home, Llc practices in Mount Vernon, GA. The NPI Number for Immanuel House Personal Care Home, Llc is 1205514445 and holds a License No. (Georgia).

The current practice location address for Immanuel House Personal Care Home, Llc is 422 N Washington Street, Mount Vernon, GA and can be reached out via phone at 740-600-0004.

Location: 422 N Washington Street, Mount Vernon, GA, 45601-2752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205514445
Provider Name
Immanuel House Personal Care Home, Llc
Credential
Provider Entity Type
Organization
Address
422 N Washington Street, Mount Vernon, GA, 45601-2752
Phone Number
740-600-0004
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
422 N Washington Street
City
Mount Vernon
State
Georgia
Zip
30445
Phone Number
740-600-0004
Fax Number
person
Provider Business Mailing Address Details
Address
422 N Washington Street
City
Mount Vernon
State
Georgia
Zip
30445
Phone Number
740-600-0004
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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