Organization
CAMELOT HOUSE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASCHAL IKE M.D. (CEO)
(404) 796-1626
Entity
Organization
Contact information
Practice address
3645 MARKETPLACE BLVD, SUITE 201, EAST POINT, GA 30344-5747
(404) 796-1626
Mailing address
3645 MARKETPLACE BLVD, SUITE 201, EAST POINT, GA 30344-5747
(404) 796-1626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8897302
GA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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