Organization
QUALITY CARE PROFESSIONALS OF GA
Active
Other names
Quality Care Professionals of GA
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA JOHNSON OWNER (ADMINISTRATOR)
(501) 240-3544
Entity
Organization
Contact information
Practice address
11067 LORIN WAY, DULUTH, GA 30097-8482
(501) 240-3544
(470) 777-5767
Mailing address
11067 LORIN WAY, DULUTH, GA 30097-8482
(501) 240-3544
(470) 777-5767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011649
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
09/05/2022
Last updated
09/05/2022
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