Provider Demographics
NPI:1467732875
Name:BRINSON COMMUNITY CARE
Entity Type:Organization
Organization Name:BRINSON COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:ARIEL
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-246-9650
Mailing Address - Street 1:549 BRINSON COLQUITT RD
Mailing Address - Street 2:
Mailing Address - City:BRINSON
Mailing Address - State:GA
Mailing Address - Zip Code:39825-1709
Mailing Address - Country:US
Mailing Address - Phone:229-246-9650
Mailing Address - Fax:229-246-9737
Practice Address - Street 1:549 BRINSON COLQUITT RD
Practice Address - Street 2:
Practice Address - City:BRINSON
Practice Address - State:GA
Practice Address - Zip Code:39825-1709
Practice Address - Country:US
Practice Address - Phone:229-246-9650
Practice Address - Fax:229-246-9737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCH001388311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home