institution
Big Mommas' House Pch Inc
Home Health Agency in Lithonia, Georgia
NPI 1578892774

Big Mommas' House Pch Inc is a Home Health Agency based in Lithonia, GA. Big Mommas' House Pch Inc practices in Lithonia, GA. The NPI Number for Big Mommas' House Pch Inc is 1578892774 and holds a License No. (Georgia).

The current practice location address for Big Mommas' House Pch Inc is 4791 Golod Way, Lithonia, GA and can be reached out via phone at 678-418-3007 and via fax at 678-418-9958.

Location: 4791 Golod Way, Lithonia, GA, 30038-6297
institution
Provider Profile Details
NPI Number
1578892774
Provider Name
Big Mommas' House Pch Inc
Credential
Provider Entity Type
Organization
Address
4791 Golod Way, Lithonia, GA, 30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
654081001A 05 GA
institution
Provider Business Practice Location Address Details
Address
4791 Golod Way
City
State
Zip
30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
person
Provider Business Mailing Address Details
Address
4791 Golod Way
City
State
Zip
30038-6297
Phone Number
678-418-3007
Fax Number
678-418-9958
person
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.
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