Individual provider · Type 1 NPI
Tracia A. A. Walters
Adult Care Home Facility · Rex, GA
NPI number
1275414823
Active
Practice location
3327 Waggoner Ln
Rex, GA 30273-5220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 25064627 (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
Other adult care home facility providers in Rex
About NPI 1275414823
Tracia A. A. Walters's National Provider Identifier is 1275414823, issued on Sep 10, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Rex, GA. The record was last updated on Sep 10, 2025.