Provider Demographics
NPI:1760515829
Name:TRUE COMPANIONS INC. HOME CARE PROVIDER
Entity Type:Organization
Organization Name:TRUE COMPANIONS INC. HOME CARE PROVIDER
Other - Org Name:TRUE COMPANIONS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:DELTON
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-445-1592
Mailing Address - Street 1:72 CLAY CT
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-4413
Mailing Address - Country:US
Mailing Address - Phone:770-445-1592
Mailing Address - Fax:770-445-7236
Practice Address - Street 1:72 CLAY CT
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-4413
Practice Address - Country:US
Practice Address - Phone:770-445-1592
Practice Address - Fax:770-445-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA110-R-0011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health