Healthcare Provider Details

I. General information

NPI: 1871657049
Provider Name (Legal Business Name): CARING UNLIMITED ADULT DAY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 ROCKBRIDGE RD
STONE MOUNTAIN GA
30083-4242
US

IV. Provider business mailing address

4605 ROCKBRIDGE RD
STONE MOUNTAIN GA
30083-4242
US

V. Phone/Fax

Practice location:
  • Phone: 404-296-1910
  • Fax: 404-296-1910
Mailing address:
  • Phone: 404-296-1910
  • Fax: 404-296-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number111894
License Number StateGA

VIII. Authorized Official

Name: JOAN ALSTON
Title or Position: CEO
Credential: R.N.
Phone: 404-296-1910