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SOUTHERN GEORGIA REGIONAL COMMISSION NPI 1629731617


NPI Information

NPI: 1629731617
Provider Name: SOUTHERN GEORGIA REGIONAL COMMISSION
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 11D2200489

Address:
1725 S GEORGIA PKWY W
WAYCROSS, GA
ZIP 31503
Phone: (912) 285-6097
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SOUTHERN GEORGIA REGIONAL COMMISSION is an in home supportive care in Waycross, GA. The provider is 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. SOUTHERN GEORGIA REGIONAL COMMISSION NPI is 1629731617. The provider is registered as an organization entity type.

The provider's business location address is:

1725 S GEORGIA PKWY W
WAYCROSS, GA
ZIP 31503-169
Phone: (912) 285-6097
Fax: (912) 285-6126

The provider's authorized official is Lisa Cribb .
The authorized official title is Executive Director and has the following contact phone number (912) 285-6097.

The CLIA number assigned to this NPI record is 11D2200489 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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