NPI | 1457787350 |
---|---|
Former Legal Business Name | ROYAL WELLNESS CENTER, INC. |
Entity Type | Organization |
Authorized Contact | SUNDAY ALABA FAWOLE Medical Director 770-289-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 55514) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2013-09-24 |