NPI 1558637637

Specialized Adult Care INC,

Organisation Preferred Provider Organization Marietta, GA

Practice location

Address: 2370 Battle Forest Dr SW, Marietta, GA 30064-2628
Phone: (678) 641-1828
Fax: (770) 627-3360

Authorised official

Name: Brenda Kay Warren
Title: President
Phone: (678) 641-1828

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 003-R-0407 (GA)

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Registry record

NPI: 1558637637
Entity type: Organization
NPI issued: 22 Mar 2012
Record last updated: 22 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.