Organization
FAITHFULLY DIVINE CONCIERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BLACKWOOD (CEO)
(404) 916-0229
Entity
Organization
Contact information
Practice address
320 CHANDLER BLUFF CT, GRAYSON, GA 30017-4324
(404) 916-0229
Mailing address
320 CHANDLER BLUFF CT, GRAYSON, GA 30017-4324
(404) 916-0229
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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