Provider Demographics
NPI:1043518285
Name:PERSONAL ASSISTANCE
Entity Type:Organization
Organization Name:PERSONAL ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILISSA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-491-7976
Mailing Address - Street 1:211 E DOYLE ST
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-2960
Mailing Address - Country:US
Mailing Address - Phone:706-491-7976
Mailing Address - Fax:
Practice Address - Street 1:211 E DOYLE ST
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-2960
Practice Address - Country:US
Practice Address - Phone:706-491-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health