AWAKENINGS, PA

GULFPORT, MS
NPI1639395197
Entity TypeOrganization
Authorized ContactANTHONY J STOCK
Owner
228-831-9400
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: MS  13805)
Enumeration Date2007-04-17
Last Update Date2020-08-22
Business Address
AWAKENINGS, PA
12231 ASHLEY DR SUITE C
GULFPORT, MS 39503-2775
Phone number: 228-831-9400
Mailing Address
AWAKENINGS, PA
12231 ASHLEY DR SUITE C
GULFPORT, MS 39503-2775
Phone number: 228-831-9400
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