Provider Demographics
NPI:1134559396
Name:APPLECARE LLC
Entity type:Organization
Organization Name:APPLECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-349-4945
Mailing Address - Street 1:401 MALL BLVD
Mailing Address - Street 2:SUITE 202E
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4862
Mailing Address - Country:US
Mailing Address - Phone:912-349-4945
Mailing Address - Fax:912-349-4105
Practice Address - Street 1:586 BRANNEN ST
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-5557
Practice Address - Country:US
Practice Address - Phone:912-871-6611
Practice Address - Fax:912-871-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care