Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EQUILLA W BRACKETT
Active Sole ProprietorEQUILLA W BRACKETT is a Assisted Living Facility healthcare provider located in JENKINSBURG, Georgia. NPI 1982912721 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · JENKINSBURG, GA
Registration Details
- NPI Number
- 1982912721
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2010 (15.927432178144 yrs)
- Last Updated
- Sep 15, 2010
- License
-
018-01-008-1 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
379 COUNTY LINE RDJENKINSBURG, GA, 302342313Browse GA providers · Browse ZIP 30234
- Phone
- 7707756949
- Fax
- 7705040783
- Primary Specialty
-
Assisted Living Facility
310400000X
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.