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Organization

CATO CARE LLC

Active
Other names
BrightStar Care of Fayetteville
Organization subpart
No

Provider details

NPI number
Authorized official
RUDOLPH OTTIS (AGENCY DIRECTOR/CEO)
(470) 615-6700
Entity
Organization

Contact information

Practice address
90 COMMERCE DR STE C, FAYETTEVILLE, GA 30214-7519
(470) 615-6700
(470) 615-6701
Mailing address
90 COMMERCE DR STE C, FAYETTEVILLE, GA 30214-7519
(470) 615-6700
(470) 615-6701

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHCP010352
GA STATE LICENSE
GA
Enumeration date
12/17/2018
Last updated
09/02/2022
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