IndividualActive
Chatity Mallard, RN
NPI 1639843055 · Adult Care Home Facility · Fort Valley, GA
Provider details
- NPI number
- 1639843055
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
176 Christopher Cir
Fort Valley, GA 31030-8403
Phone: (478) 501-3805
Approximate (ZIP-level) locationGet directions
Mailing address
176 Christopher Cir
Fort Valley, GA 31030-8403
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.