Individual provider · Type 1 NPI
Equilla W. Brackett
Assisted Living Facility · Jenkinsburg, GA
NPI number
1982912721
Active
Practice location
379 County Line Rd
Jenkinsburg, GA 30234-2313
Fax (770) 504-0783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 018-01-008-1 (GA) |
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 1982912721
Equilla W. Brackett's National Provider Identifier is 1982912721, issued on Sep 15, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jenkinsburg, GA. The record was last updated on Sep 15, 2010.