Provider Demographics
NPI:1689298374
Name:MNA ASSOCIATES PRIVATE HOME CARE LLC
Entity Type:Organization
Organization Name:MNA ASSOCIATES PRIVATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-977-7495
Mailing Address - Street 1:826 MERRILLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-0719
Mailing Address - Country:US
Mailing Address - Phone:229-977-7931
Mailing Address - Fax:800-778-4450
Practice Address - Street 1:191 VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-4466
Practice Address - Country:US
Practice Address - Phone:229-977-7495
Practice Address - Fax:800-778-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities