Organization
CIRCLE OF LOVE , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOOIYI YIN (DIRECTOR)
(770) 612-1388
Entity
Organization
Contact information
Practice address
5522 NEW PEACHTREE RD STE 120-129, CHAMBLEE, GA 30341-2543
(770) 454-7979
(770) 217-4086
Mailing address
5522 NEW PEACHTREE RD, SUITE 129, CHAMBLEE, GA 30341-2543
(770) 454-7979
(770) 217-4086
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2014 NONPS-0077
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189317268A
—
GA
01
—
844538317A
MEDICARE PROVIDER ID
GA
05
—
844538317A
—
GA
Enumeration date
04/15/2014
Last updated
08/03/2021
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