Organization
PERRY SENIOR SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATINA SHANTEL PERRY (OWNER OPERATOR)
(912) 306-6057
Entity
Organization
Contact information
Practice address
3 REDWALL CIR, POOLER, GA 31322-9040
(912) 306-6057
(912) 349-1937
Mailing address
3 REDWALL CIR, POOLER, GA 31322-9040
(912) 306-6057
(912) 349-1937
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
GA
Other
Enumeration date
02/13/2013
Last updated
07/21/2022
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