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Vickie Consuella71 Bush
In Home Supportive Care Agency in Valdosta, Georgia
NPI 1912464702

Vickie Consuella71 Bush is a In Home Supportive Care Agency based in Valdosta, GA. Vickie Consuella71 Bush practices in Valdosta, GA. The NPI Number for Vickie Consuella71 Bush is 1912464702 and holds a License No. 456669 (Georgia).

The current practice location address for Vickie Consuella71 Bush is 3701 Bermuda Run Dr, Valdosta, GA and can be reached out via phone at 229-292-0021.

Location: 3701 Bermuda Run Dr, Valdosta, GA, 31605-1059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912464702
Provider Name
Vickie Consuella71 Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
3701 Bermuda Run Dr, Valdosta, GA, 31605-1059
Phone Number
229-292-0021
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
456669 01 GA ARRT
institution
Provider Business Practice Location Address Details
Address
3701 Bermuda Run Dr
City
Valdosta
State
Georgia
Zip
31605-1059
Phone Number
229-292-0021
Fax Number
person
Provider Business Mailing Address Details
Address
3701 Bermuda Run Dr
City
Valdosta
State
Georgia
Zip
31605-1059
Phone Number
229-292-0021
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
456669 (Georgia)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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