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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