Organization
BELLE AME2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINCY WILSON (MANAGER)
(404) 663-1854
Entity
Organization
Contact information
Practice address
468 ROCK RANCH RD, CARRIERE, MS 39426-2634
(404) 663-1854
Mailing address
468 ROCK RANCH RD, CARRIERE, MS 39426-2634
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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