Provider Demographics
NPI:1831575349
Name:IN MY CHILDRENS NAME INC
Entity type:Organization
Organization Name:IN MY CHILDRENS NAME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CAKETHA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:GOREED
Authorized Official - Suffix:
Authorized Official - Credentials:FSP,CPS-P,CIT
Authorized Official - Phone:404-542-1988
Mailing Address - Street 1:318 SOUTH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-2384
Mailing Address - Country:US
Mailing Address - Phone:404-542-1988
Mailing Address - Fax:
Practice Address - Street 1:318 SOUTH AVE SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2384
Practice Address - Country:US
Practice Address - Phone:404-542-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054617450385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care