# CARING SENIOR SERVICE OF COBB COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Vine Senior service inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265924740
- **Authorized official:** MRS. LUVENIA M YATES (CARE MANAGER)
- **Authorized official phone:** (470) 298-7477

## Contact information

- **Practice address:** 1000 PARKWOOD CIR SE STE 900, ATLANTA, GA 30339-2140
- **Practice address phone:** (470) 298-7477
- **Practice address fax:** (470) 625-2648
- **Mailing address:** 1000 PARKWOOD CIR SE STE 900, ATLANTA, GA 30339-2140
- **Mailing address phone:** (470) 298-7477
- **Mailing address fax:** (470) 625-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 033-R-1796 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 05/31/2018