Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY POLK
Active Sole ProprietorEBONY POLK is a In Home Supportive Care Agency healthcare provider located in DALLAS, Georgia. NPI 1588106397 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · DALLAS, GA
Registration Details
- NPI Number
- 1588106397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2016 (9.7618654974154 yrs)
- Last Updated
- Nov 9, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
63 ACORN DRDALLAS, GA, 301573043Browse GA providers · Browse ZIP 30157
- Phone
- 6785151844
- Fax
- 6785151843
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.