Organization · Type 2 NPI

Immanuel House Personal Care Home, LLC

Licensed Practical Nurse · Mount Vernon, GA

NPI number 1205514445 Active

Practice location

422 N Washington Street
Mount Vernon, GA 30445

Mailing address

134 Teatsworth Dr
Chillicothe, OH 45601-2752

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XNone listed

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

About NPI 1205514445

Immanuel House Personal Care Home, LLC's National Provider Identifier is 1205514445, issued on Jul 7, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Vernon, GA. The record was last updated on Jul 7, 2023.