Organization
KINGDOM EMPOWERMENT
Active
Other names
Inteq Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ELAINE AKINNUBI (EXECUTIVE DIRECTOR)
(229) 854-5414
Entity
Organization
Contact information
Practice address
1323 N MAPLE ST, ALBANY, GA 31705-1447
(229) 854-5414
Mailing address
1737 PINEKNOLL LN, ALBANY, GA 31707-3778
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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