Organization
K&R GLOWING PRIDE RESIDENTIAL SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEYANA RICE (OWNER)
(317) 517-7688
Entity
Organization
Contact information
Practice address
871 COWAN RD SE, CONYERS, GA 30094-4115
(317) 517-7688
Mailing address
2819 MATERA DR, SAINT CLOUD, FL 34771-9155
(317) 517-7688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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