Individual provider · Type 1 NPI
Mildred A. Thomas
Assisted Living Facility · Doerun, GA
NPI number
1770920829
Active
Practice location
810 SE Moultrie Road
Doerun, GA 31744
Mailing address
PO Box 606
Doerun, GA 31744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1770920829
Mildred A. Thomas's National Provider Identifier is 1770920829, issued on May 30, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Doerun, GA. The record was last updated on May 30, 2013.