Organization
SOURCE CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE SLADE CPA (VICE PRESIDENT OF FINANCE)
(478) 621-2070
Entity
Organization
Contact information
Practice address
316 MERRITT ST, HAWKINSVILLE, GA 31036-1733
(478) 621-2070
(866) 773-8473
Mailing address
316 MERRITT ST, P. O. BOX 952, HAWKINSVILLE, GA 31036-1733
(478) 621-2070
(866) 773-8473
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
GA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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