Organization
ALLYS SERNIOR SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGUERITA B. PARKER (ADMINSTRATOR)
(404) 839-3631
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD, BUILDING C-301, DULUTH, GA 30096-6675
(404) 839-3631
Mailing address
3400 MCCLURE BRIDGE RD, BUILDING C-301, DULUTH, GA 30096-6675
(404) 839-3631
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LPN067457
GA
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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