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Organization

CARING HEART

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DIANA LORRAINE ALLEN (CASE MANAGER)
(678) 557-5873
Entity
Organization

Contact information

Practice address
740 CONISBURGH CT, STONE MOUNTAIN, GA 30087-4968
(678) 557-5873
(770) 413-4132
Mailing address
740 CONISBURGH CT, STONE MOUNTAIN, GA 30087-4968
(678) 557-5873
(770) 413-4132

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AC681128
GA

Other

Enumeration date
09/18/2010
Last updated
10/10/2017
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