Organization
RAVIK FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED JEFFRIES (OWNER)
(678) 462-2577
Entity
Organization
Contact information
Practice address
1343 BUSINESS CENTER DR SW STE B, CONYERS, GA 30094-6609
(855) 587-2845
Mailing address
4715 CLEVELAND RD, LITHONIA, GA 30038-2610
(678) 462-2577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
111N00000X
Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171WH0202X
Home Modifications Contractor
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
01/06/2020
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