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NPI Code Detail

MEDICARE: AROUND THE CLOCK PERSONAL CARE HOME

MEDICARE: AROUND THE CLOCK PERSONAL CARE HOME
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
1320800000XMental Illness Community Based Residential Treatment FacilityPCH008116GA
2320700000XPhysical Disabilities Residential Treatment FacilityPCH008116GA

General Provider Information

NPI Number : 1891130340
Entity Type Code : Organization
Provider Name (Legal Business Name) : AROUND THE CLOCK PERSONAL CARE HOME
Provider Business Mailing Address
First Line : 5337 JEROME RD
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-3132
Country : US
Telephone Number : 404-436-2080
Fax Number :
Provider Business Practice Location Address
First Line : 5337 JEROME RD
Second Line :
City : COLLEGE PARK
State : GA
Zip : 30349-3132
Country : US
Telephone Number : 404-436-2080
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ABRAM J CHARTAIN
Credential :
Telephone Number : 504-813-9850
Provider Enumeration Date : 05/09/2013
Last Update Date : 05/09/2013

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Directions to “AROUND THE CLOCK PERSONAL CARE HOME ” Practice Location

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