The Salvation Army A Georgia Corporation

NPI 1285750745 - Clinic/Center - 261QA0600X

NPI Details
NPI 1285750745
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM R N WILLIAM
Position SECRETARY
Phone (936) 634-1234
Fax (936) 634-0765
Practice Location
305 SHANDS DR
LUFKIN TX, 75904, US
Phone (936) 634-1234
Fax (936) 634-0765
Business Location
1424 NORTHEAST EXPRESSWAY NE
ATLANTA GA, 30329, US
Phone (404) 728-1300
Fax (404) 728-8756
Toxanomy
Taxonomy Code 261QA0600X
License State Texas
License Number 116555
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According to our database, The Salvation Army A Georgia Corporation NPI is 1285750745, taxonomy code is 261QA0600X and license number is 116555, license state is located at Texas. The Salvation Army A Georgia Corporation physically located at 305 Shands Dr, Lufkin TX, 75904. NPI Number 1033115704 has the healthcare provider type.

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1285750745 NPI number is provided on an as is basis without warranty of any kind. 1285750745 is maintained by the National Plan & Provider Enumeration System. The contents of The Salvation Army A Georgia Corporation are for informational purposes only.