Organization
YAY GOD BOO DEVIL LLC
Active
Other names
Placidus Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARROLL MARIE KELLY RN (OWNER)
(706) 231-5552
Entity
Organization
Contact information
Practice address
321 WASHINGTON COMMONS DR, EVANS, GA 30809-3170
(706) 231-5552
Mailing address
1801 MARYLAND AVE, AUGUSTA, GA 30904-5316
(706) 231-5552
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN113796
GA
251J00000X
Nursing Care Agency
RN113796
GA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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