Healthcare Provider Details

I. General information

NPI: 1659708196
Provider Name (Legal Business Name): AIMS CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 INDIAN TRAIL RD SUITE 103B
LILBURN GA
30047-3724
US

IV. Provider business mailing address

790 INDIAN TRAIL RD. SUITE 103B
LILBURN GA
30047-3724
US

V. Phone/Fax

Practice location:
  • Phone: 404-384-2571
  • Fax: 770-825-9259
Mailing address:
  • Phone: 404-384-2571
  • Fax: 770-825-9259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA MORGAN
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 404-384-2571