NPI 1720396294

Caring Heart

Organisation Point of Service Stone Mountain, GA

Practice location

Address: 740 Conisburgh CT, Stone Mountain, GA 30087-4968
Phone: (678) 557-5873
Fax: (770) 413-4132

Authorised official

Name: Diana Lorraine Allen
Title: Case Manager
Phone: (678) 557-5873

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence AC681128 (GA)

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Registry record

NPI: 1720396294
Entity type: Organization
NPI issued: 18 Sep 2010
Record last updated: 10 Oct 2017

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.