Organization
QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA BARNES (CEO)
(770) 716-3627
Entity
Organization
Contact information
Practice address
101 KENWOOD RD UNIT 50, FAYETTEVILLE, GA 30214-3418
(770) 716-3627
(770) 716-3627
Mailing address
101 KENWOOD RD UNIT 50, FAYETTEVILLE, GA 30214-3418
(770) 716-3627
(770) 716-3627
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604705391A
—
GA
Enumeration date
01/25/2007
Last updated
07/07/2008
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