Organization
GGBD, LLC ADULT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASONYA KING (DIRECTOR)
(888) 726-1430
Entity
Organization
Contact information
Practice address
8317 OFFICE PARK DR, SUITE 1C, DOUGLASVILLE, GA 30134-6936
(888) 726-1430
(404) 410-5626
Mailing address
PO BOX 81461, ATLANTA, GA 30366-1461
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
048-R-1175
GA
253Z00000X
In Home Supportive Care Agency
048-R-1175
GA
343900000X
Non-emergency Medical Transport (VAN)
048-R-1175
GA
385H00000X
Respite Care
048-R-1175
GA
Other
Enumeration date
12/18/2012
Last updated
06/18/2013
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