Provider Demographics
NPI:1700215696
Name:INFINITY HEALTH SYSTEMS,INC
Entity Type:Organization
Organization Name:INFINITY HEALTH SYSTEMS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-854-4432
Mailing Address - Street 1:POST OFFICE BOX 818
Mailing Address - Street 2:141 WEST BROAD AVENUE #D
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31702
Mailing Address - Country:US
Mailing Address - Phone:229-291-5977
Mailing Address - Fax:229-471-4043
Practice Address - Street 1:141 WEST BROAD AVE SUITE D
Practice Address - Street 2:141 WEST BROAD AVENUE SUITE D
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31702
Practice Address - Country:US
Practice Address - Phone:229-291-5977
Practice Address - Fax:229-471-4043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care