Provider Demographics
NPI:1073893749
Name:DONNA JEFFREY
Entity Type:Organization
Organization Name:DONNA JEFFREY
Other - Org Name:HOME HELP COMPANIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-305-3533
Mailing Address - Street 1:489 COLUMBIA INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6131
Mailing Address - Country:US
Mailing Address - Phone:706-305-3533
Mailing Address - Fax:706-305-3534
Practice Address - Street 1:489 COLUMBIA INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-6131
Practice Address - Country:US
Practice Address - Phone:706-305-3533
Practice Address - Fax:706-305-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036-R-0892251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health