| My Sister's Keeper Family Services, Inc. | |
|
804 Commerce Blvd Ste A8 Riverdale GA 30296-3321 | |
| (678) 760-6599 | |
| Not Available |
| Full Name | My Sister's Keeper Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 804 Commerce Blvd Ste A8, Riverdale, Georgia |
| Authorized Official Name and Position | Sharon D. Stroman (EXE. DIRECTO) |
| Authorized Official Contact | 7709940607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Sister's Keeper Family Services, Inc. 7431 Petunia Dr Riverdale GA 30296-1185 Ph: (770) 994-0607 | My Sister's Keeper Family Services, Inc. 804 Commerce Blvd Ste A8 Riverdale GA 30296-3321 Ph: (678) 760-6599 |
| NPI Number | 1275713174 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275713174 | NPI | - | NPPES |
| 145255627A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 145255627A (Georgia) | Primary |
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