11D1001290 CLIA NUMBER - GEORGIA NURSECARE, LLC

Laboratory Demographics

CLIA Number: 11D1001290

Facility Name: GEORGIA NURSECARE, LLC

Facility Address:
3216 SHRINE ROAD
BRUNSWICK, GA
ZIP 31520
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Facility Phone Number: 912 264-0040

Facility Type: Other - PRIVATE HM CARE PROVIDER

Certificate Type: Waiver

NPI Number: 1578908646

Taxonomy: 253Z00000X - In Home Supportive Care
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.

CLIA Record

Field Name	Field Value
CLIA Number	11D1001290
LAB Type	Other - PRIVATE HM CARE PROVIDER
Facility Name	GEORGIA NURSECARE, LLC
Street	3216 SHRINE ROAD
City	BRUNSWICK
State	GA
ZIP	31520
Phone	912 264-0040
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024