Healthcare Provider Details

I. General information

NPI: 1306546809
Provider Name (Legal Business Name): DOVES CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 03/06/2023
Certification Date: 03/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 MOUNT ZION RD STE H
MORROW GA
30260-2266
US

IV. Provider business mailing address

1115 MOUNT ZION RD STE H
MORROW GA
30260-2266
US

V. Phone/Fax

Practice location:
  • Phone: 770-703-4321
  • Fax:
Mailing address:
  • Phone: 770-703-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KEISHA JONES GARNER
Title or Position: OWNER
Credential: LPN,CDP
Phone: 773-656-3982