Organization
A CHERISHED LIFE, ENRICHMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RASHEEDA WHITAKER (DIRECTOR)
(678) 214-5955
Entity
Organization
Contact information
Practice address
6453 SPRING ST, DOUGLASVILLE, GA 30134-1866
(678) 214-5955
Mailing address
PO BOX 6036, DOUGLASVILLE, GA 30154-0018
(678) 214-5955
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
054957964
GA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
Update your record
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