Organization
CLEANSPARROW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRSUN THOMPSON (OWNER)
(215) 327-8057
Entity
Organization
Contact information
Practice address
215 HOGLEN DR, COVINGTON, GA 30016-2906
(215) 327-8057
Mailing address
215 HOGLEN DR, COVINGTON, GA 30016-2906
(215) 327-8057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
04/22/2022
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