Provider Demographics
NPI:1497323265
Name:CHARMS PERSONAL CARE HOME,INC
Entity Type:Organization
Organization Name:CHARMS PERSONAL CARE HOME,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:SHIRLEY WILLIAMS
Authorized Official - Phone:229-886-2284
Mailing Address - Street 1:PO BOX 5345
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31706-5345
Mailing Address - Country:US
Mailing Address - Phone:122-988-8774
Mailing Address - Fax:229-883-4492
Practice Address - Street 1:900 W RESIDENCE AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1783
Practice Address - Country:US
Practice Address - Phone:229-888-7741
Practice Address - Fax:229-883-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility