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Organization

SPECIALIZED ADULT CARE INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA KAY WARREN MANAGEMENT (PRESIDENT)
(678) 641-1828
Entity
Organization

Contact information

Practice address
2370 BATTLE FOREST DR SW, MARIETTA, GA 30064-2628
(678) 641-1828
(770) 627-3360
Mailing address
2370 BATTLE FOREST DR SW, MARIETTA, GA 30064-2628
(678) 641-1828
(770) 627-3360

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
003-R-0407
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033-R-0407
PRIVATE HOME CARE PROVIDER
GA
Enumeration date
03/22/2012
Last updated
03/22/2012
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