BURST OF JOY PERSONAL CARE


Address: 396 7th Ave Se, Cairo, GA 39828-3070
Phone: 2293970819

BURST OF JOY PERSONAL CARE (NPI# 1790196772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790196772
Entity Type Organization
Organization Name BURST OF JOY PERSONAL CARE
Practice Address 396 7th Ave Se
Cairo
GA 39828-3070
Mailing Address P.o. Box 144
Cairo
GA 39828-3288
Practice Telephone 2293970819
Mailing Telephone 2293780693
Mailing Fax Number 2293970819
Enumeration Date 2014-05-13
Last Update Date 2014-05-13
Authorized Official Name VENTRISHA LINETT MOLLINS (OWNER)
Authorized Official Telephone 2293780693
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
065-01-023-1 GA Ambulatory Health Care Facilities

Office Location

Street Address 396 7TH AVE SE
City CAIRO
State GA
Zip Code 39828-3070

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City CAIRO
Zip Code 39828

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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