Organization
FULL PLATE INDUSTRIES, LLC
Active
Other names
Full Plate Industries, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA N. FORD-JENRETTE (OWNER)
(678) 469-4212
Entity
Organization
Contact information
Practice address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
(678) 469-4212
Mailing address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
(678) 469-4212
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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