EBONY POLK

DALLAS, GA
NPI1588106397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
-- EBONY POLK
63 ACORN DR
DALLAS, GA 30157-3043
Phone number: 678-515-1844
Mailing Address
-- EBONY POLK
63 ACORN DR
DALLAS, GA 30157-3043
Phone number: 678-515-1844
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