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Organization

PROSPERITAS, LLC

Active
Parent organization
NORTHEAST GEORGIA REHABILITATION CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST GEORGIA REHABILITATION CENTER, INC
Authorized official
MR. WILLIAM KEVIN HARRISON (BUSINESS MANAGER)
(336) 756-9535
Entity
Organization

Contact information

Practice address
172 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3566
(336) 756-9535
(888) 682-9095
Mailing address
PO BOX 1793, PILOT MOUNTAIN, NC 27041-1793
(336) 756-9535
(888) 682-9095

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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