Provider Demographics
NPI:1770168304
Name:TOWNS, ALICE (CNA)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:TOWNS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ROSE WALK DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7730
Mailing Address - Country:US
Mailing Address - Phone:678-600-4432
Mailing Address - Fax:
Practice Address - Street 1:290 ROSE WALK DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-7730
Practice Address - Country:US
Practice Address - Phone:678-600-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN000001741374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty