Provider Demographics
NPI:1851794861
Name:STABLE CARE SERVICES, INC
Entity Type:Organization
Organization Name:STABLE CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SILVERLYNE
Authorized Official - Middle Name:U
Authorized Official - Last Name:CHUKWURAH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:678-698-8840
Mailing Address - Street 1:1763 TAYLOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-1525
Mailing Address - Country:US
Mailing Address - Phone:678-698-8840
Mailing Address - Fax:
Practice Address - Street 1:1763 TAYLOR OAKS DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-1525
Practice Address - Country:US
Practice Address - Phone:678-698-8840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-R-1204253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care