| Burst Of Joy Personal Care | |
|
396 7th Ave Se Cairo GA 39828-3070 | |
| (229) 397-0819 | |
| Not Available |
| Full Name | Burst Of Joy Personal Care |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 396 7th Ave Se, Cairo, Georgia |
| Authorized Official Name and Position | Ventrisha Linett Mollins (OWNER) |
| Authorized Official Contact | 2293780693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burst Of Joy Personal Care P.o. Box 144 Cairo GA 39828-3288 Ph: (229) 378-0693 | Burst Of Joy Personal Care 396 7th Ave Se Cairo GA 39828-3070 Ph: (229) 397-0819 |
| NPI Number | 1790196772 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790196772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 065-01-023-1 (Georgia) | Primary |
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