GLENDALE HEALTHCARE, LLC

HATTIESBURG, MS
NPI1063188167
Entity TypeOrganization
Authorized ContactAKWASI WAYNE AMPONSAH
CEO
314-435-6386
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
GLENDALE HEALTHCARE, LLC
2503 GLENDALE AVE
HATTIESBURG, MS 39401-1073
Phone number: 601-582-5805
Mailing Address
GLENDALE HEALTHCARE, LLC
2503 GLENDALE AVE
HATTIESBURG, MS 39401-1073
Phone number: 601-582-5805
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