Provider Demographics
NPI:1720259690
Name:CIRCLE OF CARE HEALTH CARE INC
Entity Type:Organization
Organization Name:CIRCLE OF CARE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:FOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLANIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-513-5591
Mailing Address - Street 1:5857 VILLAGE LOOP
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213
Mailing Address - Country:US
Mailing Address - Phone:404-513-5591
Mailing Address - Fax:770-808-9404
Practice Address - Street 1:5857 VILLAGE LOOP
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213
Practice Address - Country:US
Practice Address - Phone:404-513-5591
Practice Address - Fax:770-808-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060R0389163WI0500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty