Organization
SORINITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVINA ROBERTS (OWNER)
(912) 335-3152
Entity
Organization
Contact information
Practice address
801 HWY 40 EAST STE A-139, KINGSLAND, GA 31548
(912) 335-3152
Mailing address
801 HWY 40 EAST STE A-139, KINGSLAND, GA 31548
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008774400
—
FL
Enumeration date
10/28/2015
Last updated
10/28/2015
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