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Organization
SYDAL ENTERPRISES, LLC
Active
Organization
SYDAL ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIE GODWIN (OWNER/ADMINISTRATOR)
(678) 764-6204
Entity
Organization
Contact information
Practice address
330 KERRITH DR, STOCKBRIDGE, GA 30281-4278
(678) 764-6204
(678) 400-0735
Mailing address
330 KERRITH DR, STOCKBRIDGE, GA 30281-4278
(678) 764-6204
(678) 400-0735
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
075-R-0707
GA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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