Organization
ANGELS OF GRACE COMMUNITY WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY WEAVER-ANDERSON DRPH (CEO)
(229) 397-9355
Entity
Organization
Contact information
Practice address
195 MARTIN LUTHER KING JR AVE SW, CAIRO, GA 39828-2605
(229) 397-9355
Mailing address
PO BOX 1510, CAIRO, GA 39828-0970
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
06/13/2020
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