COMMUNITY BASED HEALTHCARE SERVICES

TUCKER, GA
NPI1316389901
Entity TypeOrganization
Authorized ContactDERRICK BOSWELL
Director
678-964-7107
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2013-07-23
Last Update Date2013-07-23
Business Address
COMMUNITY BASED HEALTHCARE SERVICES
2374 MAIN ST STE B
TUCKER, GA 30084-4533
Phone number: 678-964-7107
Mailing Address
COMMUNITY BASED HEALTHCARE SERVICES
2374 MAIN ST STE B
TUCKER, GA 30084-4533
Phone number: 678-964-7107