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Chatity M Mallard, RN
Adult Care Home Facility in Fort Valley, Georgia
NPI 1639843055

Chatity M Mallard is an Adult Care Home Facility based in Fort Valley, GA and is specialized in Adult Care Home. Chatity M Mallard practices in Fort Valley, GA and has the professional credentials of RN. The NPI Number for Chatity M Mallard is 1639843055 and holds a License No. (Georgia).

The current practice location address for Chatity M Mallard is 176 Christopher Cir, Fort Valley, GA and can be reached out via phone at 478-501-3805.

Location: 176 Christopher Cir, Fort Valley, GA, 31030-8403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639843055
Provider Name
Chatity M Mallard
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
176 Christopher Cir, Fort Valley, GA, 31030-8403
Phone Number
478-501-3805
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
176 Christopher Cir
City
Fort Valley
State
Georgia
Zip
31030-8403
Phone Number
478-501-3805
Fax Number
person
Provider Business Mailing Address Details
Address
176 Christopher Cir
City
Fort Valley
State
Georgia
Zip
31030-8403
Phone Number
478-501-3805
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
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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