Organization
MALAMAV COMMUNITY AND HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERLINE DEBROSSE-PIARD MED. (ADMINISTRATOR)
(770) 943-4641
Entity
Organization
Contact information
Practice address
3847 OAKVIEW DR,, POWDER SPRINGS, GA 30127-3060
(770) 943-4641
Mailing address
6183 BURNT HICKORY RD, POWDER SPRINGS, GA 30127-3060
(770) 943-4641
(678) 668-7226
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-0382
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228175080C
—
GA
05
—
790039305A
—
GA
05
—
790039305B
—
GA
Enumeration date
10/19/2010
Last updated
10/19/2010
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