Wish You Well Youth Faith Foundation INC

NPI #1053974550 in Locust Grove, Georgia

Provider Information

NPI Number: 1053974550
Entity Type: Organization
Organization Name: Wish You Well Youth Faith Foundation INC
Primary Specialty: Contractor
Enumeration Date: Apr 19, 2019
Last Updated: Aug 12, 2022

Practice Location

Address: 147 LAUGHLIN DR
City: Locust Grove
State: Georgia
ZIP Code: 30248
Phone: (678) 834-5377

Authorized Official

Name: SHARMON D CAUSEY
Title: CEO/DIRECTOR
Phone: (678) 834-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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