Providence Care Inc
Providence Care Inc is a Community/Behavioral Health Agency in Fairburn, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
216 NW Broad St Ste BFairburn, GA 30213-4106
Phone: (678) 489-2069
Fax: (678) 489-8627
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 060-R-1019 (GA) |
|---|
Record details
| NPI number | 1376805630 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stella Okpala — Director/Owner · (404) 931-7854 |
| Other names | Providence Private Care Home And Providence Community Living Arrangem |
| NPI enumerated | June 13, 2012 |
| Last updated in NPPES | June 13, 2012 |
| Mailing address | 216 Nw Broad St Ste B, Fairburn, GA 30213-4106 |
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