Provider Demographics
NPI:1164063640
Name:INFINITY HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:INFINITY HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-327-4967
Mailing Address - Street 1:1095 GUS PAULK RD
Mailing Address - Street 2:
Mailing Address - City:AMBROSE
Mailing Address - State:GA
Mailing Address - Zip Code:31512-3408
Mailing Address - Country:US
Mailing Address - Phone:912-327-4967
Mailing Address - Fax:912-393-3235
Practice Address - Street 1:1095 GUS PAULK RD
Practice Address - Street 2:
Practice Address - City:AMBROSE
Practice Address - State:GA
Practice Address - Zip Code:31512-3408
Practice Address - Country:US
Practice Address - Phone:912-327-4967
Practice Address - Fax:912-393-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health