Organization
BAL PROFESSIONAL HEALTHCARE SERVICES INC
Active
Parent organization
I-CARE PRIVATE HOME CARE SERVICES LLC
Other names
BAL COMPREHENSIVE OUTPATIENT REHABILITAITON FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
I-CARE PRIVATE HOME CARE SERVICES LLC
Authorized official
MS. BRENDA A ROBERTS (SECRETARY)
(678) 763-6722
Entity
Organization
Contact information
Practice address
155 WESTRIDGE PKWY, SUITE 208, MCDONOUGH, GA 30253-3049
(678) 782-5400
(678) 782-3330
Mailing address
155 WESTRIDGE PKWY, SUITE 208, MCDONOUGH, GA 30253-3049
(678) 782-5400
(678) 782-3330
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
075-R-0832
GA
261QA0600X
Adult Day Care Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
075-R-0832
GA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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