Healthcare Provider Details

I. General information

NPI: 1821371808
Provider Name (Legal Business Name): ASSISTED SERVICES WITH KARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 09/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 REDDING RDG
ATLANTA GA
30349-8027
US

IV. Provider business mailing address

250 REDDING RDG
ATLANTA GA
30349-8027
US

V. Phone/Fax

Practice location:
  • Phone: 404-667-6233
  • Fax:
Mailing address:
  • Phone: 404-667-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY A READY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 404-667-6233