Provider Demographics
NPI:1245122654
Name:BREEDLOVE, MAXINE ALTHEA
Entity type:Individual
Prefix:MRS
First Name:MAXINE
Middle Name:ALTHEA
Last Name:BREEDLOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MAXINE
Other - Middle Name:ALTHEA
Other - Last Name:BREEDLOVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PURIGHT CARE LLC
Mailing Address - Street 1:640 DANA POINTE CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-8633
Mailing Address - Country:US
Mailing Address - Phone:470-367-0632
Mailing Address - Fax:470-367-0632
Practice Address - Street 1:640 DANA POINTE CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-8633
Practice Address - Country:US
Practice Address - Phone:470-367-0632
Practice Address - Fax:470-367-0632
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health