Organization
MY HARVEST INC.
Active
Other names
My Harvest CRA
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MAINS (REGIONAL DIRECTOR)
(866) 205-5551
Entity
Organization
Contact information
Practice address
5109 BIG SPRUCE TRL, GAINESVILLE, GA 30507-8104
(866) 205-5551
(888) 440-9733
Mailing address
399 ADAMS FARM LN, LAWRENCEVILLE, GA 30046-5313
(866) 205-5551
(888) 440-9733
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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