Provider Demographics
NPI:1801187372
Name:MEJIA & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MEJIA & ASSOCIATES, LLC
Other - Org Name:HOME HELPERS #58407
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-220-1901
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:GA
Mailing Address - Zip Code:31779-0321
Mailing Address - Country:US
Mailing Address - Phone:229-430-8330
Mailing Address - Fax:866-401-5388
Practice Address - Street 1:323 PINE AVE STE 203
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2587
Practice Address - Country:US
Practice Address - Phone:229-430-8330
Practice Address - Fax:866-401-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101-R-0544253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care