Provider Demographics
NPI:1932779501
Name:CAIN, RACHEL (LPN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CAIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SAVOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:102 CHEROKEE CIR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-5402
Mailing Address - Country:US
Mailing Address - Phone:757-753-9992
Mailing Address - Fax:
Practice Address - Street 1:102 CHEROKEE CIR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-5402
Practice Address - Country:US
Practice Address - Phone:757-753-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002071512164W00000X
GALPN099866164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty