Provider Demographics
NPI:1639862576
Name:ADAPTABLE CLINICAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:ADAPTABLE CLINICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHEYENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:470-424-2818
Mailing Address - Street 1:2586 WILLOW GROVE RD NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3030
Mailing Address - Country:US
Mailing Address - Phone:470-424-2818
Mailing Address - Fax:
Practice Address - Street 1:2586 WILLOW GROVE RD NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-3030
Practice Address - Country:US
Practice Address - Phone:470-424-2818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty