Provider Demographics
NPI:1093316101
Name:DA CORE SOLUTIO
Entity Type:Organization
Organization Name:DA CORE SOLUTIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR OF SCIENCE
Authorized Official - Phone:770-405-9646
Mailing Address - Street 1:PO BOX 680731
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-0013
Mailing Address - Country:US
Mailing Address - Phone:770-405-9646
Mailing Address - Fax:
Practice Address - Street 1:1000 PARKWOOD CIR SE STE 900
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2140
Practice Address - Country:US
Practice Address - Phone:770-405-9646
Practice Address - Fax:770-234-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA15049004OtherCOMPANY NUMBER - SOS CONTROL NUMBER