Organization · Type 2 NPI

Provider Partners, LLC dba Your Virtual Clincial

Home Health Agency · Duluth, GA

NPI number 1598233231 Active

Practice location

1815 Satellite Blvd Ste 403
Duluth, GA 30097-5239

Call (770) 401-5200 Map

Mailing address

450 Old Peachtree Rd NW Ste 101
Suwanee, GA 30024-7289

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1598233231
Entity type: Organization (Type 2)
Issued: Nov 12, 2018
Last updated: Mar 16, 2020
Status: Active
Subpart: Yes of TKRR

Other names

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Your Virtual Clinic · doing business as
Your Virtual Clinic · doing business as

Authorized official

Rutherford Polhill
Owner
(770) 401-5200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1598233231

Provider Partners, LLC dba Your Virtual Clincial's National Provider Identifier is 1598233231, issued on Nov 12, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Duluth, GA. The record was last updated on Mar 16, 2020.