Organization
CARESIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIDUS VIDAL TYUS (CEO)
(404) 951-4343
Entity
Organization
Contact information
Practice address
506 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-7798
(404) 951-4343
Mailing address
506 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-7798
(404) 951-4343
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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