Organization
CARE CHOICE ADULT DEVELOPMENT PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMITKO L MOORE (ADMINISTRATIVE ASSISTANT)
(248) 864-8290
Entity
Organization
Contact information
Practice address
1075 PEACHTREE ST NE STE 3650, ATLANTA, GA 30309-3934
(404) 965-3899
Mailing address
1075 PEACHTREE ST NE STE 3650, ATLANTA, GA 30309-3934
(404) 965-3899
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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