Individual provider · Type 1 NPI
Theresa Patterson
Adult Care Home Facility · Valdosta, GA
NPI number
1194568188
Active
Practice location
4664 Vienna Church Rd
Valdosta, GA 31605-5524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | PCH008346 (GA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1194568188
Theresa Patterson's National Provider Identifier is 1194568188, issued on Jun 17, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Valdosta, GA. The record was last updated on Jun 17, 2024.