Organization
MY BROTHAZ H.O.M.E., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY DOUGLAS (EXECUTIVE DIRECTOR)
(912) 231-8727
Entity
Organization
Contact information
Practice address
2111 PRICE ST, SAVANNAH, GA 31401-9049
(912) 231-8727
(912) 231-8730
Mailing address
2111 PRICE ST, SAVANNAH, GA 31401-9049
(912) 231-8727
(912) 231-8730
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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