UN SIMPLE MINDED

LAWRENCEVILLE, GA
NPI1003567223
Entity TypeOrganization
Authorized ContactAMIR BERNARD LANE
Owner
678-975-5539
Organization Subpart ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
UN SIMPLE MINDED
810 EAGLE COVE WAY
LAWRENCEVILLE, GA 30044-5843
Phone number: 678-975-5539
Mailing Address
UN SIMPLE MINDED
810 EAGLE COVE WAY
LAWRENCEVILLE, GA 30044-5843
Phone number: 678-975-5539