Provider Demographics
NPI:1184706087
Name:OUR COMMON WELFARE,INC
Entity type:Organization
Organization Name:OUR COMMON WELFARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-284-6061
Mailing Address - Street 1:3423 COVINGTON DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1846
Mailing Address - Country:US
Mailing Address - Phone:404-284-6061
Mailing Address - Fax:404-284-9972
Practice Address - Street 1:3423 COVINGTON DR
Practice Address - Street 2:SUITE E
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1846
Practice Address - Country:US
Practice Address - Phone:404-284-9878
Practice Address - Fax:404-284-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty