Provider Demographics
NPI:1386396182
Name:COVID MOBILE SERVICES, LLC
Entity type:Organization
Organization Name:COVID MOBILE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-952-3520
Mailing Address - Street 1:111 PRINCESS ANNE DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-7041
Mailing Address - Country:US
Mailing Address - Phone:478-952-3520
Mailing Address - Fax:
Practice Address - Street 1:111 PRINCESS ANNE DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-7041
Practice Address - Country:US
Practice Address - Phone:478-952-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty