Provider Demographics
NPI:1073679551
Name:ROCAST, INC.
Entity Type:Organization
Organization Name:ROCAST, INC.
Other - Org Name:ALTERNATIVE LIVING SERVICE OF NE GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-546-7730
Mailing Address - Street 1:975 GAINES SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3133
Mailing Address - Country:US
Mailing Address - Phone:706-546-7730
Mailing Address - Fax:706-546-7739
Practice Address - Street 1:975 GAINES SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3133
Practice Address - Country:US
Practice Address - Phone:706-546-7730
Practice Address - Fax:706-546-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care