Organization
CHARITY COMMUNITY LIVING ARRANGEMENT LLC
Active
Other names
Charity Personal Care Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARITY CHINASA EKPERI NP (CEO)
(404) 519-5248
Entity
Organization
Contact information
Practice address
2995 GARNET WAY, COLLEGE PARK, GA 30349
(404) 519-5248
Mailing address
2995 GARNET WAY, CHARITY COMMUNITY LIVING ARRANGEMENT, COLLEGE PARK, GA 30349
(404) 519-5248
(770) 473-1712
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CLA002141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674871532A
—
GA
Enumeration date
08/14/2014
Last updated
08/14/2014
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