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Contact Information

MEDIATOR SENIOR CARE, LLC
4143 COLUMBIA RD.
SUITE B
MARTINEZ, GA30907
 Phone: 706-922-3601
 Fax: 706-922-3608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for MEDIATOR SENIOR CARE, LLC

NPI # 1437679339
LBN Legal business name MEDIATOR SENIOR CARE, LLC
Authorized official MARK BARLOW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
GA License # 036-R-1348
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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