Provider Demographics
NPI:1598405110
Name:CAROL CARE HEALTH SERVICES
Entity Type:Organization
Organization Name:CAROL CARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTERBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHIATRIC NURSE PR
Authorized Official - Phone:770-846-2228
Mailing Address - Street 1:1267 PEBBLEBROOK RD SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5615
Mailing Address - Country:US
Mailing Address - Phone:770-846-2228
Mailing Address - Fax:
Practice Address - Street 1:1267 PEBBLEBROOK RD SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-5615
Practice Address - Country:US
Practice Address - Phone:770-846-2228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty