PRODIGIOUS HEALTH SERVICES, LLC

WARRENTON, NC
NPI1093017931
Entity TypeOrganization
Authorized ContactBOBBY FAISON
President
252-433-0300
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NC  101Y00000X)
Enumeration Date2010-11-29
Last Update Date2010-11-29
Business Address
PRODIGIOUS HEALTH SERVICES, LLC
108 S BRAGG ST
WARRENTON, NC 27589-2048
Phone number: 252-257-6500
Mailing Address
PRODIGIOUS HEALTH SERVICES, LLC
108 SOUTH BRAGG STREET
WARRENTON, NC 27589-2048
Phone number: 252-433-0300
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