| New Orleans Caring Hands Llc | |
|
4696 Balley Shannon Dr Se Mableton GA 30126-1763 | |
| (678) 360-2368 | |
| Not Available |
| Full Name | New Orleans Caring Hands Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4696 Balley Shannon Dr Se, Mableton, Georgia |
| Authorized Official Name and Position | Danielle Madlock (PROVIDER) |
| Authorized Official Contact | 6783602368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Orleans Caring Hands Llc 4696 Balley Shannon Dr Se Mableton GA 30126-1763 Ph: (678) 360-2368 | New Orleans Caring Hands Llc 4696 Balley Shannon Dr Se Mableton GA 30126-1763 Ph: (678) 360-2368 |
| NPI Number | 1801495213 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Medicare PECOS PAC ID | 7719307479 |
|---|---|
| Medicare Enrollment ID | O20201019000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801495213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Danielle Madlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710331152 PECOS PAC ID: 1456604420 Enrollment ID: I20181022003317 |
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