Organization · Type 2 NPI
Miona Geriatric and Dementia Center, LLC
Parenteral & Enteral Nutrition Supplies (DME) · Ideal, GA
NPI number
1174770424
Active
Practice location
201 Poplar St
Ideal, GA 31041-6264
Mailing address
777 Nursing Home Rd
Marshallville, GA 31057-3715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) Primary | 332BP3500X | None listed |
Parenteral & Enteral Nutrition Supplies (DME): Definition to come...
4 other providers at this address
- Miona Geriatric & Dementia Center, LLCSkilled Nursing Facility Ideal, GA NPI 1215919709
- Christopher Richards, MDFamily Medicine Physician Ideal, GA NPI 1164475893
- Gina Maria HartiganPhysical Therapy Assistant Ideal, GA NPI 1164098455
- Joanna Dodson Gay, OTAOccupational Therapy Assistant Ideal, GA NPI 1811070659
About NPI 1174770424
Miona Geriatric and Dementia Center, LLC's National Provider Identifier is 1174770424, issued on Aug 19, 2008. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Ideal, GA. The record was last updated on Oct 27, 2008.