Healthcare Provider Details

I. General information

NPI: 1275473530
Provider Name (Legal Business Name): CARE INTL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ETOWAH FERRY DR APT 1416
ACWORTH GA
30102-1767
US

IV. Provider business mailing address

1000 ETOWAH FERRY DR APT 1416
ACWORTH GA
30102-1767
US

V. Phone/Fax

Practice location:
  • Phone: 706-351-7762
  • Fax:
Mailing address:
  • Phone: 706-351-7762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM ASIS
Title or Position: OFFICIAL
Credential:
Phone: 706-351-7762