Provider Demographics
NPI:1346355567
Name:ASSURED & ASSOCIATES PERSONAL CARE OF GA
Entity Type:Organization
Organization Name:ASSURED & ASSOCIATES PERSONAL CARE OF GA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-391-0140
Mailing Address - Street 1:8336 OFFICE PARK DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6937
Mailing Address - Country:US
Mailing Address - Phone:678-391-0140
Mailing Address - Fax:678-391-0970
Practice Address - Street 1:8336 OFFICE PARK DR
Practice Address - Street 2:SUITE F
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-6937
Practice Address - Country:US
Practice Address - Phone:678-391-0140
Practice Address - Fax:678-391-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048-R-0019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health