Provider Demographics
NPI:1508139395
Name:CAREFREE BUILDING MAINTENANCE
Entity Type:Organization
Organization Name:CAREFREE BUILDING MAINTENANCE
Other - Org Name:CAREFREE MAISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-456-2888
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:GA
Mailing Address - Zip Code:30272-1003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4055 WILL LEE RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-1904
Practice Address - Country:US
Practice Address - Phone:404-456-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA956857745GMedicaid
GA956857745LMedicaid
GA956857745NMedicaid
GA956857745PMedicaid
GA956857745KMedicaid
GA956857745OMedicaid
GA956857745JMedicaid
GA956857745HMedicaid