| K&r Glowing Pride Residential Services Of Georgia | |
|
871 Cowan Rd Se Conyers GA 30094-4115 | |
| (317) 517-7688 | |
| Not Available |
| Full Name | K&r Glowing Pride Residential Services Of Georgia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 871 Cowan Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Keyana Rice (OWNER) |
| Authorized Official Contact | 3175177688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K&r Glowing Pride Residential Services Of Georgia 2819 Matera Dr Saint Cloud FL 34771-9155 Ph: (317) 517-7688 | K&r Glowing Pride Residential Services Of Georgia 871 Cowan Rd Se Conyers GA 30094-4115 Ph: (317) 517-7688 |
| NPI Number | 1114707924 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 09/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114707924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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