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Mr. Stacey Harris
Home Health Agency in Carrollton, Georgia
NPI 1679897854

Stacey Harris is a Home Health Agency based in Carrollton, GA. Stacey Harris practices in Carrollton, GA. The NPI Number for Stacey Harris is 1679897854 and holds a License No. 022-01-022-1 (Georgia).

The current practice location address for Stacey Harris is 55 Hickory Cir, Carrollton, GA and can be reached out via phone at 678-601-3504.

Location: 55 Hickory Cir, Carrollton, GA, 30116-8692
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679897854
Provider Name
Stacey Harris
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Hickory Cir, Carrollton, GA, 30116-8692
Phone Number
678-601-3504
Fax Number
Provider Enumeration Date
03/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Hickory Cir
City
Carrollton
State
Georgia
Zip
30116-8692
Phone Number
678-601-3504
Fax Number
person
Provider Business Mailing Address Details
Address
55 Hickory Cir
City
Carrollton
State
Georgia
Zip
30116-8692
Phone Number
678-601-3504
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
022-01-022-1 (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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