Provider Demographics
NPI:1497926794
Name:GERIATRIC CARE SERVICES, LLC
Entity Type:Organization
Organization Name:GERIATRIC CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/SOCIAL WORK
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS-PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW PIP
Authorized Official - Phone:205-314-3433
Mailing Address - Street 1:1500 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1821
Mailing Address - Country:US
Mailing Address - Phone:205-314-3433
Mailing Address - Fax:205-314-3432
Practice Address - Street 1:1500 1ST AVE N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1821
Practice Address - Country:US
Practice Address - Phone:205-314-3433
Practice Address - Fax:205-314-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management