Organization
IN MY CHILDRENS NAME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAKETHA EVETTE GOREED FSP,CPS-P,CIT (FOUNDER)
(404) 542-1988
Entity
Organization
Contact information
Practice address
318 SOUTH AVE SE, MARIETTA, GA 30060-2384
(404) 542-1988
Mailing address
318 SOUTH AVE SE, MARIETTA, GA 30060-2384
(404) 542-1988
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
054617450
GA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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