Organization
SEVA ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG DATTA (VICE PRESIDENT)
(404) 556-2754
Entity
Organization
Contact information
Practice address
5675 JIMMY CARTER BLVD STE 665A, NORCROSS, GA 30071-2955
(770) 317-4533
Mailing address
510 BUTLER NATIONAL DR, JOHNS CREEK, GA 30097-5944
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003203189A
—
GA
05
—
417006435I
—
GA
Enumeration date
08/31/2022
Last updated
08/31/2022
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