Organization Name: | PERRY WELLNESS CENTER, INC. |
NPI Number: | 1194910273 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART PERRY (EXECUTIVE DIRECTOR) |
Mailing Address: | 270 Hwy 280 W Americus |
State: | GA US |
Postal Code: | 31719 |
Phone Number: | 2299314404 |
Fax Number: | 2299314403 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |