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Organization
QUALITY CARE PROFESSIONALS OF GA
Active
Organization
QUALITY CARE PROFESSIONALS OF GA
Active
Other names
Quality Care Professionals of GA
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA JOHNSON OWNER (ADMINISTRATOR)
(501) 240-3544
Entity
Organization
Contact information
Practice address
11067 LORIN WAY, DULUTH, GA 30097-8482
(501) 240-3544
(470) 777-5767
Mailing address
11067 LORIN WAY, DULUTH, GA 30097-8482
(501) 240-3544
(470) 777-5767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011649
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
09/05/2022
Last updated
09/05/2022
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