Care Choice Adult Development Program INC
Preferred Provider Organization in Atlanta, GA. Organization (NPI-2).
NPI number1699199554
StatusActive
Last updated in NPPESFeb 13, 2014
Details
- NPI
- 1699199554
- Entity type
- Organization (NPI-2)
- Legal business name
- Care Choice Adult Development Program INC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2014
- Last updated
- Feb 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
1075 Peachtree St Ne Ste 3650Atlanta, GA 30309-3934
Phone 404-965-3899
Mailing address
1075 Peachtree St Ne Ste 3650Atlanta, GA 30309-3934
Phone 404-965-3899
Authorized official
Kamitko L Moore
Administrative Assistant
2488648290
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