Provider Demographics
NPI:1932519998
Name:HALL, CYNTIA (HOME HEALTH/SITTER)
Entity Type:Individual
Prefix:
First Name:CYNTIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:HOME HEALTH/SITTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6183 IDLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-6274
Mailing Address - Country:US
Mailing Address - Phone:470-545-5395
Mailing Address - Fax:
Practice Address - Street 1:2056 GUM CIRCE
Practice Address - Street 2:APT H
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550
Practice Address - Country:US
Practice Address - Phone:843-206-3867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide