The Collective Enterprise INC.
In Home Supportive Care in Mcdonough, GA. Organization (NPI-2).
NPI number1669050258
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1669050258
- Entity type
- Organization (NPI-2)
- Legal business name
- The Collective Enterprise INC.
- Organization subpart
- No
- Enumeration date
- Apr 1, 2021
- Certification date
- Apr 1, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 174200000X | Meals | – | – | |
| 282J00000X | Religious Nonmedical Health Care Institution | – | – | |
| 305S00000X | Point of Service | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 347C00000X | Private Vehicle | – | – |
Practice location
289 Legends TrceMcdonough, GA 30253-8820
Phone 678-389-0500
Mailing address
289 Legends TrceMcdonough, GA 30253-8820
Phone 678-389-0500
Authorized official
Iris Logan
Owner
6783890500
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