Organization
FOREVER CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA FARQUHARSON (CEO / DIRECTOR)
(404) 348-8353
Entity
Organization
Contact information
Practice address
2662 RAINBOW CREEK DR, DECATUR, GA 30034-2155
(404) 348-8353
(404) 973-0289
Mailing address
6654 HAWES DR, LITHONIA, GA 30058-4631
(404) 348-8353
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CLA000917
GA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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