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Organization
FACES OF ILLUSIONS LLC
Active
Organization
FACES OF ILLUSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHRISTOPHER WHITE (OWNER/MANAGER)
(678) 502-6987
Entity
Organization
Contact information
Practice address
439 CONGAREE RD SUIT 17, GREENVILLE, SC 29607
(864) 914-6506
(864) 561-9911
Mailing address
500 MABRY PLACE, GRAYSON, GA 30017
(678) 502-6987
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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