Provider Demographics
NPI:1770341133
Name:GEORGIA-LINA CARE MANAGEMENT INC
Entity type:Organization
Organization Name:GEORGIA-LINA CARE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTRINO
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GODLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-373-4454
Mailing Address - Street 1:1922 HEATHERS CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-8124
Mailing Address - Country:US
Mailing Address - Phone:706-373-4454
Mailing Address - Fax:
Practice Address - Street 1:305 BROAD ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-1517
Practice Address - Country:US
Practice Address - Phone:706-373-4454
Practice Address - Fax:803-426-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care