# MY BROTHAZ H.O.M.E., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275663551
- **Authorized official:** MR. MARK ANTHONY DOUGLAS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (912) 231-8727

## Contact information

- **Practice address:** 2111 PRICE ST, SAVANNAH, GA 31401-9049
- **Practice address phone:** (912) 231-8727
- **Practice address fax:** (912) 231-8730
- **Mailing address:** 2111 PRICE ST, SAVANNAH, GA 31401-9049
- **Mailing address phone:** (912) 231-8727
- **Mailing address fax:** (912) 231-8730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020