Organization
BLESSED GARDENZ LLC
Active
Other names
BLESSED GARDENZ LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YABA PHILOMENE-B AWUAH (DIRECTOR)
(404) 547-5385
Entity
Organization
Contact information
Practice address
1161 HACKNEE CT, LAWRENCEVILLE, GA 30044-2771
(678) 373-3900
(678) 373-3900
Mailing address
1161 HACKNEE CT, LAWRENCEVILLE, GA 30044-2771
(678) 373-3900
(678) 373-3900
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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