NPI | 1144369232 |
---|---|
Former Legal Business Name | EVERCARE GEORGIA |
Entity Type | Organization |
Authorized Contact | JILL J PAGANO Health Services Director 770-582-3985 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA RN174554 NP) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |