Provider Demographics
NPI:1952856254
Name:CMSA OPTIONS, LLC
Entity Type:Organization
Organization Name:CMSA OPTIONS, LLC
Other - Org Name:SARAHCARE AT EVANS TO LOCKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-364-7430
Mailing Address - Street 1:3554 STEVENS WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8901
Mailing Address - Country:US
Mailing Address - Phone:706-364-7430
Mailing Address - Fax:706-364-7854
Practice Address - Street 1:801 OAKHURST DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3711
Practice Address - Country:US
Practice Address - Phone:706-364-7430
Practice Address - Fax:706-364-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAADC000079261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care