| Angels Of Grace Community Wellness Center, Inc. | |
|
195 Martin Luther King Jr Ave Sw Cairo GA 39828-2605 | |
| (229) 397-9355 | |
| Not Available |
| Full Name | Angels Of Grace Community Wellness Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 195 Martin Luther King Jr Ave Sw, Cairo, Georgia |
| Authorized Official Name and Position | Mary Weaver-anderson (CEO) |
| Authorized Official Contact | 2293979355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Of Grace Community Wellness Center, Inc. Po Box 1510 Cairo GA 39828-0970 Ph: () - | Angels Of Grace Community Wellness Center, Inc. 195 Martin Luther King Jr Ave Sw Cairo GA 39828-2605 Ph: (229) 397-9355 |
| NPI Number | 1154810844 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 06/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154810844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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