Organization
TAKE CARE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIA C LUCAS-SMITH (NURSE)
(404) 839-2107
Entity
Organization
Contact information
Practice address
405 KENDRICK TER SW, SOUTH FULTON, GA 30331-9109
(678) 815-1234
Mailing address
405 KENDRICK TER SW, ATLANTA, GA 30331-9109
(404) 839-2107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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