MEDICARE: MULTI-CARE HEALTH & REHAB, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	62004	GA

General Provider Information

NPI Number	:	1528235819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTI-CARE HEALTH & REHAB, LLC

Provider Business Mailing Address
First Line	:	1809 HONEY CREEK COMMONS SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-5830
Country	:	US
Telephone Number	:	770-922-2556
Fax Number	:	770-922-2485

Provider Business Practice Location Address
First Line	:	1809 HONEY CREEK COMMONS SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-5830
Country	:	US
Telephone Number	:	770-922-2556
Fax Number	:	770-922-2485

Authorized Official
Title or Position	:	MEMBER
Name	:	GINA JOHNSON
Credential	:
Telephone Number	:	770-922-2556

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

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