Provider Demographics
NPI:1033745088
Name:ASSURE ELDER CARE INCORPORATED
Entity Type:Organization
Organization Name:ASSURE ELDER CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAZERAN
Authorized Official - Middle Name:JAQUON
Authorized Official - Last Name:DOPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-425-3365
Mailing Address - Street 1:1047 ALFORD RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3007
Mailing Address - Country:US
Mailing Address - Phone:404-425-3365
Mailing Address - Fax:470-336-7085
Practice Address - Street 1:1047 ALFORD RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3007
Practice Address - Country:US
Practice Address - Phone:404-425-3365
Practice Address - Fax:470-336-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service