Organization
SOVEREIGN AND GRACE SERVICES
Active
Organization
SOVEREIGN AND GRACE SERVICES
Active
Other names
A.R.K Diagnostics Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KULUVANDA QUARLETTE CASON LPN (CEO/FINANCIAL MANAGER)
(229) 236-2585
Entity
Organization
Contact information
Practice address
551 SMITH AVE STE A, THOMASVILLE, GA 31792-5657
(229) 236-2585
Mailing address
241 POINT RD, THOMASVILLE, GA 31757-0940
(229) 403-5252
(229) 226-6170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/17/2020
Last updated
12/03/2020
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