Jay Deville, OWNER

NPI 1407508948 · on the registry since 2022 · sole proprietor

Practice

Address: 11 John Davenport Dr Nw
Rome, GA 30165
Phone: (706) 290-7701
Fax: (706) 290-7702
Organisation at this address: Northwest Ga Home Care/ Dba Right At Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 253Z00000X
253Z00000X
Also registered as: 251E00000X
253Z00000X
374U00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia