Perry Senior Service

NPI 1275872053 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1275872053
Enumeration Date 02/13/2013
Last Updated 02/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KATINA SHANTEL KATINA
Position OWNER OPERATOR
Phone (912) 306-6057
Fax (912) 349-1937
Practice Location
3 REDWALL CIR
POOLER GA, 31322-9040, US
Phone (912) 306-6057
Fax (912) 349-1937
Business Location
3 REDWALL CIR
POOLER GA, 31322-9040, US
Phone (912) 306-6057
Fax (912) 349-1937
Toxanomy
Taxonomy Code 302R00000X
License State Georgia
License Number =========
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According to our database, Perry Senior Service NPI is 1275872053, taxonomy code is 302R00000X and license number is =========, license state is located at Georgia. Perry Senior Service physically located at 3 Redwall Cir, Pooler GA, 31322-9040. NPI Number 1033115704 has the healthcare provider type.

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1275872053 NPI number is provided on an as is basis without warranty of any kind. 1275872053 is maintained by the National Plan & Provider Enumeration System. The contents of Perry Senior Service are for informational purposes only.