K&r Glowing Pride Residential Services of Georgia

NPI #1114707924 in Conyers, Georgia

Provider Information

NPI Number
1114707924
Entity Type
Organization
Organization Name
K&r Glowing Pride Residential Services of Georgia
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 2, 2023
Last Updated
Oct 2, 2023

Practice Location

Address
871 COWAN RD SE
State
Georgia
ZIP Code
30094-4115
Phone
(317) 517-7688

Authorized Official

Name
MS. KEYANA RICE
Title
OWNER
Phone
(317) 517-7688

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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