Individual provider · Type 1 NPI
Chatity M. Mallard, RN
Adult Care Home Facility · Fort Valley, GA
NPI number
1639843055
Active
Practice location
176 Christopher Cir
Fort Valley, GA 31030-8403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
About NPI 1639843055
Chatity M. Mallard, RN's National Provider Identifier is 1639843055, issued on Aug 9, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fort Valley, GA. The record was last updated on Aug 9, 2021.