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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE CARE INC

Active Organization

PROVIDENCE CARE INC is a Community/Behavioral Health organization located in FAIRBURN, Georgia. NPI 1376805630 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · FAIRBURN, GA

Registration Details

NPI Number
1376805630
Provider Type
Organization
NPI Issued
Jun 13, 2012 (14.152150861266 yrs)
Last Updated
Jun 13, 2012
License
060-R-1019 (GA)

Practice Information

Address
216 NW BROAD ST STE B
FAIRBURN, GA, 302134106
Browse GA providers · Browse ZIP 30213
Phone
6784892069
Fax
6784898627
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in FAIRBURN, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.