Organization
DRA HEALTH SERVICES LLC
Active
Other names
DRA Heatlh Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY L GINES TERRITORY MANAGER (OWNER)
(601) 955-5008
Entity
Organization
Contact information
Practice address
248 WOODLAND BROOK DR, MADISON, MS 39110
(601) 955-5008
Mailing address
248 WOODLAND BROOK DR, MADISON, MS 39110
(601) 955-5008
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
MS
Other
Enumeration date
03/02/2011
Last updated
01/21/2015
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