Provider Demographics
NPI:1699508564
Name:BLUARK ADHC SOLUTIONS LLC
Entity type:Organization
Organization Name:BLUARK ADHC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-250-4648
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30434-0858
Mailing Address - Country:US
Mailing Address - Phone:877-725-8275
Mailing Address - Fax:877-447-7790
Practice Address - Street 1:2260 CLARKS MILL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:GA
Practice Address - Zip Code:30434-5126
Practice Address - Country:US
Practice Address - Phone:706-250-4648
Practice Address - Fax:877-447-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health