Brackett, Equilla W

Brackett, Equilla W is an sole proprietor health care provider with primary practice located at 379 County Line Rd , Jenkinsburg GA 30234-2313. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Brackett, Equilla W can be contacted via phone (770) 775-6949.

Contact Information

Primary practice address
379 County Line Rd Jenkinsburg GA 30234-2313
Phone: (770) 775-6949
Fax: (770) 504-0783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 018-01-008-1 Georgia

Profile Details

NPI number 1982912721
LBN Legal business name Brackett, Equilla W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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