Healthcare Provider Details

I. General information

NPI: 1891130340
Provider Name (Legal Business Name): AROUND THE CLOCK PERSONAL CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5337 JEROME RD
COLLEGE PARK GA
30349-3132
US

IV. Provider business mailing address

5337 JEROME RD
COLLEGE PARK GA
30349-3132
US

V. Phone/Fax

Practice location:
  • Phone: 404-436-2080
  • Fax:
Mailing address:
  • Phone: 404-436-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberPCH008116
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberPCH008116
License Number StateGA

VIII. Authorized Official

Name: MR. ABRAM J CHARTAIN
Title or Position: CEO
Credential:
Phone: 504-813-9850