Provider Demographics
NPI:1942327325
Name:PLUSH
Entity Type:Organization
Organization Name:PLUSH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER AND CO FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-772-8395
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:323 BROGDON ROAD
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-0425
Mailing Address - Country:US
Mailing Address - Phone:912-772-8395
Mailing Address - Fax:
Practice Address - Street 1:323 BROGDON ROAD
Practice Address - Street 2:
Practice Address - City:GUYTON
Practice Address - State:GA
Practice Address - Zip Code:31312-0425
Practice Address - Country:US
Practice Address - Phone:912-772-8395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility