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Organization
JOYFUL SPEECH, LLC
Active
Organization
JOYFUL SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA H PRUITT SLP (OWNER/SPEECH PATHOLOGIST)
(706) 247-4277
Entity
Organization
Contact information
Practice address
130 BUTTERCUP LN, BOGART, GA 30622-1622
(706) 247-4277
(800) 915-0219
Mailing address
130 BUTTERCUP LN, BOGART, GA 30622-1622
(706) 247-4277
(800) 915-0219
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
GASLP003460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110429E
—
GA
Enumeration date
09/02/2016
Last updated
09/02/2016
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