Organization
ONE ON ONE CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA V BENTON (OWNER)
(404) 823-8229
Entity
Organization
Contact information
Practice address
3568 EAGLE RISE, LITHONIA, GA 30038-3531
(404) 823-8229
Mailing address
3568 EAGLE RISE, LITHONIA, GA 30038-3531
(404) 823-8229
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
00237982
GA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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