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Organization
EBONY HEALTHCARE SERVICES
Active
Organization
EBONY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 484-3879
Entity
Organization
Contact information
Practice address
169 PARKVIEW RD, SAVANNAH, GA 31419-9671
(912) 677-8231
(888) 494-4209
Mailing address
169 PARKVIEW RD, SAVANNAH, GA 31419-9671
(912) 677-8231
(888) 494-4209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
03/18/2021
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