Organization
BENARD & ROMULUS LLC
Active
Other names
TOUCH OF MAGNOLIA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ROSE ROMULUS (OWNER)
(770) 527-2521
Entity
Organization
Contact information
Practice address
917 REVERE WAY, HAMPTON, GA 30228-5969
(770) 527-2521
Mailing address
917 REVERE WAY, HAMPTON, GA 30228-5969
(770) 527-2521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205107067
—
PA
Enumeration date
02/07/2020
Last updated
02/07/2020
Update your record
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