Organization Name: | CARE BY YOUR SIDE LLC |
NPI Number: | 1003247453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA T MCNAIR (ADMINISTRATOR) |
Mailing Address: | 2148 Settle Cir Se Atlanta |
State: | GA US |
Postal Code: | 303162246 |
Phone Number: | 7708628925 |
Fax Number: | 4043930304 |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 044R1143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |