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Organization

PREVENTIVE CARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL REGINA EAVES RN (CEO/PRESIDENT)
(770) 319-8201
Entity
Organization

Contact information

Practice address
3961 FLOYD RD # 300335, AUSTELL, GA 30106-8535
(770) 319-8201
(770) 234-3890
Mailing address
3961 FLOYD RD # 300335, AUSTELL, GA 30106-8535
(770) 319-8201
(770) 234-3890

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00653573A
GA
05
H445131
TN
Enumeration date
04/11/2007
Last updated
09/14/2011
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