Provider Demographics
NPI:1952829541
Name:RHODES, FELICIA EVETTE (DIRECTOR)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:EVETTE
Last Name:RHODES
Suffix:
Gender:F
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 JONES CRK
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4039
Mailing Address - Country:US
Mailing Address - Phone:706-339-4530
Mailing Address - Fax:
Practice Address - Street 1:715 JONES CREEK
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809
Practice Address - Country:US
Practice Address - Phone:706-339-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide