Organization
CARING HANDS ASSISTED LIVING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATHILDA PREVOST (ADMINISTRATOR)
(678) 886-6877
Entity
Organization
Contact information
Practice address
1741 HIGHWAY 138 SW, RIVERDALE, GA 30296-1921
(770) 996-5552
(770) 996-5552
Mailing address
1741 HIGHWAY 138 SW, RIVERDALE, GA 30296-1921
(770) 996-5552
(770) 996-5552
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
031012331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911309871
CCSP PROVIDER
GA
Enumeration date
01/11/2012
Last updated
01/11/2012
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