Provider Demographics
NPI:1871863001
Name:TDK CAREGIVERS
Entity Type:Organization
Organization Name:TDK CAREGIVERS
Other - Org Name:TDK CONSULTANTS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER JANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-431-9786
Mailing Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:474
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1995
Mailing Address - Country:US
Mailing Address - Phone:877-431-9786
Mailing Address - Fax:404-751-2787
Practice Address - Street 1:990 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:474
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1995
Practice Address - Country:US
Practice Address - Phone:877-431-9786
Practice Address - Fax:404-751-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA201007122251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care