Organization
CONSUMERS CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN DARLENE MATTIS (CEO)
(404) 243-5484
Entity
Organization
Contact information
Practice address
4390 THURGOOD ESTATES DR, ELLENWOOD, GA 30294-3283
(404) 243-5484
(404) 243-5733
Mailing address
4390 THURGOOD ESTATES DR, ELLENWOOD, GA 30294-3283
(404) 243-5484
(404) 243-5733
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089382234
—
GA
Enumeration date
09/17/2008
Last updated
09/17/2008
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