# BURST OF JOY PERSONAL CARE

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

## Provider details

- **NPI number:** 1790196772
- **Authorized official:** VENTRISHA LINETT MOLLINS (OWNER)
- **Authorized official phone:** (229) 378-0693

## Contact information

- **Practice address:** 396 7TH AVE SE, CAIRO, GA 39828-3070
- **Practice address phone:** (229) 397-0819
- **Mailing address:** P.O. BOX 144, CAIRO, GA 39828-3288
- **Mailing address phone:** (229) 378-0693
- **Mailing address fax:** (229) 397-0819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 065-01-023-1 | GA | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 05/13/2014