| Organization Name: | C & C ENTERPRISE INC |
| NPI Number: | 1043535750 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM WHITE (PRESIDENT) |
| Mailing Address: | 3425 Estate Lake Drive Fairburn |
| State: | GA US |
| Postal Code: | 302133111 |
| Phone Number: | 4044196274 |
| Fax Number: | 7707569985 |
| NPI Enumeration Date: | 04/06/2010 |
| NPI Last Update Date: | 04/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 1501010810 |
| 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 |