Organization · Type 2 NPI

PMR Retailer LLC

Supports Brokerage Agency · Covington, GA

NPI number 1770426504 Active

Practice location

13 Ray Rd
Covington, GA 30014-5954

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Supports Brokerage Agency Primary 251X00000XNone listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

Another provider at this address

About NPI 1770426504

PMR Retailer LLC's National Provider Identifier is 1770426504, issued on Apr 14, 2026. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Covington, GA. The record was last updated on Apr 14, 2026.