Organization
GROW CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN KEELING OTR/L (ORGANIZER)
(678) 697-2932
Entity
Organization
Contact information
Practice address
306 ARBOR GREEN LN, ALPHARETTA, GA 30004-7090
(678) 697-2932
Mailing address
306 ARBOR GREEN LN, ALPHARETTA, GA 30004-7090
(678) 697-2932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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