Provider Demographics
NPI:1891979373
Name:RESPI-CARE, INC.
Entity Type:Organization
Organization Name:RESPI-CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-985-2273
Mailing Address - Street 1:1934 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31768-6524
Mailing Address - Country:US
Mailing Address - Phone:229-985-2273
Mailing Address - Fax:229-890-0776
Practice Address - Street 1:1934 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MOULTRIE
Practice Address - State:GA
Practice Address - Zip Code:31768-6524
Practice Address - Country:US
Practice Address - Phone:229-985-2273
Practice Address - Fax:229-890-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20017139030332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA384182OtherWELLCARE
GA499144416AMedicaid
GA384182OtherWELLCARE