Organization
COMPREHENSIVE CONTINGENCY TASK FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE TORRES LPN (NURSING SUPERISOR)
(706) 221-5025
Entity
Organization
Contact information
Practice address
3649 VICTORY DR, COLUMBUS, GA 31903-4553
(706) 221-5025
Mailing address
825 N HAMMONDS FERRY RD, LINTHICUM, MD 21090-1355
(443) 457-6788
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KCLJKWG00
HIN NUMBER
—
Enumeration date
01/28/2013
Last updated
01/28/2013
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