Provider Demographics
NPI:1811572928
Name:OUSLEY, ADELINE V
Entity Type:Individual
Prefix:
First Name:ADELINE
Middle Name:V
Last Name:OUSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1336 MERCANTILE DR APT 79
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-8010
Mailing Address - Country:US
Mailing Address - Phone:229-291-0863
Mailing Address - Fax:
Practice Address - Street 1:1336 MERCANTILE DR APT 79
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-8010
Practice Address - Country:US
Practice Address - Phone:229-291-0863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health