Organization
THE COLLECTIVE ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS LOGAN (OWNER)
(678) 389-0500
Entity
Organization
Contact information
Practice address
289 LEGENDS TRCE, MCDONOUGH, GA 30253-8820
(678) 389-0500
Mailing address
289 LEGENDS TRCE, MCDONOUGH, GA 30253-8820
(678) 389-0500
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
305S00000X
Point of Service
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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