Organization
BURST OF JOY PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENTRISHA LINETT MOLLINS (OWNER)
(229) 378-0693
Entity
Organization
Contact information
Practice address
396 7TH AVE SE, CAIRO, GA 39828-3070
(229) 397-0819
Mailing address
P.O. BOX 144, CAIRO, GA 39828-3288
(229) 378-0693
(229) 397-0819
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
065-01-023-1
GA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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