| Patricia Walker Host Home | |
|
1007 Mary St Waycross GA 31503-3823 | |
| (912) 449-7111 | |
| (912) 449-7060 |
| Full Name | Patricia Walker Host Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1007 Mary St, Waycross, Georgia |
| Authorized Official Name and Position | Bobby Brown (CEO) |
| Authorized Official Contact | 9124497111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Walker Host Home P O Box 776 Homerville GA 31634 Ph: (912) 487-3313 | Patricia Walker Host Home 1007 Mary St Waycross GA 31503-3823 Ph: (912) 449-7111 |
| NPI Number | 1912273376 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912273376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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