Organization
EDUCARE COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN IRWIN-COPELAND (NURSE)
(678) 988-6835
Entity
Organization
Contact information
Practice address
152 SOUTHGATE BLVD, MCDONOUGH, GA 30253-8035
(678) 988-6835
Mailing address
152 SOUTHGATE BLVD, MCDONOUGH, GA 30253-8035
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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