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Phyllis Denise Haynes
Attendant Care Provider in Bogart, Georgia
NPI 1750992913

Phyllis Denise Haynes is an Attendant Care Provider based in Bogart, GA and is specialized in Attendant Care Provider. Phyllis Denise Haynes practices in Bogart, GA. The NPI Number for Phyllis Denise Haynes is 1750992913 and holds a License No. (Georgia).

The current practice location address for Phyllis Denise Haynes is 1111 Glenwood Ln, Bogart, GA and can be reached out via phone at 706-202-1577.

Location: 1111 Glenwood Ln, Bogart, GA, 30622-2396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750992913
Provider Name
Phyllis Denise Haynes
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 Glenwood Ln, Bogart, GA, 30622-2396
Phone Number
706-202-1577
Fax Number
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3747A0650X 01 PROVIDER
institution
Provider Business Practice Location Address Details
Address
1111 Glenwood Ln
City
Bogart
State
Georgia
Zip
30622-2396
Phone Number
706-202-1577
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Glenwood Ln
City
Bogart
State
Georgia
Zip
30622-2396
Phone Number
706-202-1577
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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