Organization
SENIOR WISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES REGISTER (BUSINESS DIRECTOR)
(229) 794-1854
Entity
Organization
Contact information
Practice address
5000 BETHANY DR, HAHIRA, GA 31632-3130
(229) 794-1854
Mailing address
5000 BETHANY DR, HAHIRA, GA 31632-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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