| Organization Name: | SANKOFA HEALING AND ENRICHMENT, INC. |
| NPI Number: | 1104152339 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE GAMBLE (DIRECTOR) |
| Mailing Address: | 2932 N Clough Bay Rd Waycross |
| State: | GA US |
| Postal Code: | 315036731 |
| Phone Number: | 9122841172 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2009 |
| NPI Last Update Date: | 10/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |