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Organization
SOVEREIGN PERSONAL SERVICES
Active
Organization
SOVEREIGN PERSONAL SERVICES
Active
Other names
Synergy HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALLEN KELLY (OWNER/ADMINISTRATOR)
(678) 682-9121
Entity
Organization
Contact information
Practice address
2386 CLOWER ST, BLDG D, SUITE 100D, SNELLVILLE, GA 30078-6134
(678) 682-9121
(678) 935-0278
Mailing address
2386 CLOWER ST, BLDG D, SUITE 100D, SNELLVILLE, GA 30078-6134
(678) 682-9121
(678) 935-0278
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-0533
GA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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