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Organization
COLLABORATIVE PROFESSIONAL SERVICES
Active
Organization
COLLABORATIVE PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICITA WRIGHT (OWNER/DON)
(678) 304-9787
Entity
Organization
Contact information
Practice address
410 CORNWALLIS WAY, FAYETTEVILLE, GA 30214-1591
(678) 304-9787
Mailing address
410 CORNWALLIS WAY, FAYETTEVILLE, GA 30214-1591
(678) 304-9787
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
07/16/2015
Last updated
10/17/2015
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