En Gedi Rx, LLC
Case Management in Roswell, GA. Organization (NPI-2).
NPI number1932811197
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1932811197
- Entity type
- Organization (NPI-2)
- Legal business name
- En Gedi Rx, LLC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2022
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
135 Weatherford PlaceRoswell, GA 30075
Phone 404-210-1478 · Fax 888-375-3346
Mailing address
135 Weatherford PlaceRoswell, GA 30075
Phone 404-210-1478 · Fax 888-375-3346
Authorized official
Kenneth Alan Greensmith
Managing Director
4042101478
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