Provider Demographics
NPI:1467893578
Name:CURAVITA LLC
Entity Type:Organization
Organization Name:CURAVITA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:QUARTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-994-1020
Mailing Address - Street 1:PO BOX 2053
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-0976
Mailing Address - Country:US
Mailing Address - Phone:404-994-0074
Mailing Address - Fax:877-660-9555
Practice Address - Street 1:970 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6988
Practice Address - Country:US
Practice Address - Phone:404-994-0074
Practice Address - Fax:877-660-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0000013957332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies