MEDICARE: KARISMA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1891296703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARISMA INC

Provider Business Mailing Address
First Line	:	7661 KAYNE BLVD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2546
Country	:	US
Telephone Number	:	706-221-9992
Fax Number	:	866-569-3067

Provider Business Practice Location Address
First Line	:	7661 KAYNE BLVD STE C
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2546
Country	:	US
Telephone Number	:	706-221-9992
Fax Number	:	866-569-3067

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	PAMELA BURKE
Credential	:
Telephone Number	:	706-681-5149

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	02/26/2018

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Directions to “KARISMA INC ” Practice Location

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