Organization
POOLMATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN MUNGIN (PRESIDENT/CEO)
(678) 523-5704
Entity
Organization
Contact information
Practice address
5297 WINDING GLEN DR, LITHONIA, GA 30038-2390
(678) 691-4694
Mailing address
5297 WINDING GLEN DR, LITHONIA, GA 30038-2390
(678) 691-4694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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