Organization
C & C ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILLIAM WHITE (PRESIDENT)
(404) 419-6274
Entity
Organization
Contact information
Practice address
3425 ESTATE LAKE DRIVE, FAIRBURN, GA 30213-3111
(404) 419-6274
(770) 756-9985
Mailing address
3425 ESTATE LAKE DR, FAIRBURN, GA 30213-3111
(404) 419-6274
(770) 756-9985
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1501010810
GA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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