Provider Demographics
NPI:1710235791
Name:SLATER VENTURES INVESTMENTS INC.
Entity Type:Organization
Organization Name:SLATER VENTURES INVESTMENTS INC.
Other - Org Name:AMERICARE 3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-829-1610
Mailing Address - Street 1:2525 LAQUANDA CT SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7890
Mailing Address - Country:US
Mailing Address - Phone:404-829-1610
Mailing Address - Fax:404-349-8844
Practice Address - Street 1:2525 LAQUANDA CT SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7890
Practice Address - Country:US
Practice Address - Phone:404-829-1610
Practice Address - Fax:404-349-8844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R0720253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care