Individual
ROGER ARISTOTLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 AQUINNAH DR, POOLER, GA 31322-8277
(214) 994-3704
Mailing address
121 AQUINNAH DR, POOLER, GA 31322-8277
(214) 994-3704
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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