Organization
CIRCLE OF CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DRAKE (PRESIDENT)
(678) 615-2110
Entity
Organization
Contact information
Practice address
4402 LAWRENCEVILLE RD, SUITE 203, LOGANVILLE, GA 30052-6781
(678) 615-2110
Mailing address
4402 LAWRENCEVILLE RD, SUITE 203, LOGANVILLE, GA 30052-6781
(678) 615-2110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
147R0246
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381973026A
—
GA
Enumeration date
09/03/2015
Last updated
09/03/2015
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