# SOCIAL SERVICES OUTREACH INC

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

## Provider details

- **NPI number:** 1801296728
- **Authorized official:** MRS. GLORIA JEAN GATES NONE (OWNER/DIRECTOR)
- **Authorized official phone:** (678) 524-1152

## Contact information

- **Practice address:** 10205 SAINT JAMES DR, CONYERS, GA 30094-1202
- **Practice address phone:** (678) 524-1152
- **Mailing address:** 10205 SAINT JAMES DR, CONYERS, GA 30094-1202
- **Mailing address phone:** (678) 524-1152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HO14-00274 | GA | Yes |

## Other

- **Enumeration date:** 08/27/2014
- **Last updated:** 08/27/2014