Provider Demographics
NPI:1730959750
Name:ONEWELL HEALTH OF GEORGIA, LLC
Entity type:Organization
Organization Name:ONEWELL HEALTH OF GEORGIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF HR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-598-2871
Mailing Address - Street 1:7505 WATERS AVE STE A5
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3817
Mailing Address - Country:US
Mailing Address - Phone:717-617-2706
Mailing Address - Fax:
Practice Address - Street 1:7505 WATERS AVE STE A5
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3817
Practice Address - Country:US
Practice Address - Phone:717-617-2706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care