Basic Information
| Provider Information | |||||||||
| NPI: | 1619398187 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | APPLECARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 MALL BLVD | ||||||||
| Address2: | SUITE 202E | ||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314064862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123494945 | ||||||||
| FaxNumber: | 9123494105 | ||||||||
| Practice Location | |||||||||
| Address1: | 1375 E KING AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | KINGSLAND | ||||||||
| State: | GA | ||||||||
| PostalCode: | 315486831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9125766865 | ||||||||
| FaxNumber: | 9125762565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2013 | ||||||||
| LastUpdateDate: | 12/01/2017 | ||||||||
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| AuthorizedOfficialLastName: | JACKSON | ||||||||
| AuthorizedOfficialFirstName: | AMANDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PATIENT SERVICES MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9123494945 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.