Provider Demographics
NPI:1386838704
Name:ROBINSON'S PERSONAL CARE HOME
Entity Type:Organization
Organization Name:ROBINSON'S PERSONAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ON-SITE MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAWANDA
Authorized Official - Middle Name:LOETTE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-439-2866
Mailing Address - Street 1:501 IVEYS SCENIC DR.
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-9532
Mailing Address - Country:US
Mailing Address - Phone:229-439-2866
Mailing Address - Fax:
Practice Address - Street 1:501 IVEYS SCENIC DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-9532
Practice Address - Country:US
Practice Address - Phone:229-439-2866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health