NPI Profile for YAY GOD BOO DEVIL LLC in EVANS, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
163WR0400X | |||
Nursing Care |
251J00000X |
| NPI Number | 1588061469 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/20/2014 | |
| Last updated | 11/20/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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YAY GOD BOO DEVIL LLC
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