Organization
CAREGISTICS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELBONE HASKINS (ADMINISTRATIVE ASSISTANT)
(404) 994-4622
Entity
Organization
Contact information
Practice address
500 WINDSOR WAY, FAIRBURN, GA 30213-6446
(404) 786-2717
Mailing address
500 WINDSOR WAY, FAIRBURN, GA 30213-6446
(404) 786-2717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
172A00000X
Driver
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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