OrganizationActive
Community Care Home Inc.
NPI 1134420516 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jonesboro, GA
Provider details
- NPI number
- 1134420516
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Cathy Burke, Owner
- License
- 060013141 (GA)
Practice location
659 Wilmont Dr
Jonesboro, GA 30238-4834
Phone: (404) 375-3655
Fax: (404) 209-8131
Mailing address
2045 Mount Zion Rd # 373
Morrow, GA 30260-3313
Registry dates
- Enumerated
- 2010-11-16
- Last updated
- 2012-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.