Organization
COMMUNITY CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY BURKE (OWNER)
(404) 375-3644
Entity
Organization
Contact information
Practice address
659 WILMONT DR, JONESBORO, GA 30238-4834
(404) 375-3655
(404) 209-8131
Mailing address
2045 MOUNT ZION RD # 373, MORROW, GA 30260-3313
(404) 375-3655
(404) 209-8131
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
060013141
GA
Other
Enumeration date
11/16/2010
Last updated
05/24/2012
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