Provider Demographics
NPI:1871931279
Name:ADULT HOMES SERVICES
Entity type:Organization
Organization Name:ADULT HOMES SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-536-5546
Mailing Address - Street 1:803 BEST BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:GA
Mailing Address - Zip Code:30467-8216
Mailing Address - Country:US
Mailing Address - Phone:912-564-1148
Mailing Address - Fax:912-564-0015
Practice Address - Street 1:655 FRONTAGE RD E
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:GA
Practice Address - Zip Code:30467-4800
Practice Address - Country:US
Practice Address - Phone:912-564-1148
Practice Address - Fax:912-564-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care