Provider Demographics
NPI:1033363940
Name:HIGH MAINTENANCE
Entity Type:Organization
Organization Name:HIGH MAINTENANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMECARE PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-589-1933
Mailing Address - Street 1:4722 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-5325
Mailing Address - Country:US
Mailing Address - Phone:706-814-6235
Mailing Address - Fax:
Practice Address - Street 1:4722 BROOKWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-5325
Practice Address - Country:US
Practice Address - Phone:706-814-6235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child